Provider Demographics
NPI:1093222812
Name:SAN BENITO COUNTY HEALTH & HUMAN SERVICES AGENCY/PUBLIC HEALTH
Entity Type:Organization
Organization Name:SAN BENITO COUNTY HEALTH & HUMAN SERVICES AGENCY/PUBLIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE SERVICES SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:BARRIENTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-637-5367
Mailing Address - Street 1:439 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-3801
Mailing Address - Country:US
Mailing Address - Phone:831-637-5367
Mailing Address - Fax:831-637-9073
Practice Address - Street 1:439 4TH ST
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-3801
Practice Address - Country:US
Practice Address - Phone:831-637-5367
Practice Address - Fax:831-637-9073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local