Provider Demographics
NPI:1164572426
Name:COUNTY OF NAPA
Entity Type:Organization
Organization Name:COUNTY OF NAPA
Other - Org Name:NAPA COUNTY HEALTH & HUMAN SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:YASUMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-253-4678
Mailing Address - Street 1:2751 NAPA VALLEY CORPORATE DR
Mailing Address - Street 2:HHS - FISCAL DIVISION BLDG B
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-6216
Mailing Address - Country:US
Mailing Address - Phone:707-253-4662
Mailing Address - Fax:707-299-4163
Practice Address - Street 1:2751 NAPA VALLEY CORPORATE DR
Practice Address - Street 2:BLDGS - A & B
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-6216
Practice Address - Country:US
Practice Address - Phone:707-253-4662
Practice Address - Fax:707-299-4163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
BU669ZOtherMEDICARE ID- TYPE UNSPECIFIED
CA2840028Medicaid
CA2890028Medicaid
CACCS00076FMedicaid
CAZZR11475FMedicaid
CA2800028Medicaid
CA2890028Medicaid