Provider Demographics
NPI:1326535352
Name:COUNTY OF PLUMAS
Entity Type:Organization
Organization Name:COUNTY OF PLUMAS
Other - Org Name:CHESTER WELLNESS AND FAMILY RESOURCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QUALITY ASSURANCE AND COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-297-8655
Mailing Address - Street 1:270 COUNTY HOSPITAL RD STE 109
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:CA
Mailing Address - Zip Code:95971-9173
Mailing Address - Country:US
Mailing Address - Phone:453-283-6307
Mailing Address - Fax:
Practice Address - Street 1:372 MAIN STREET
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:CA
Practice Address - Zip Code:96122
Practice Address - Country:US
Practice Address - Phone:530-259-4156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF PLUMAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-16
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)