Provider Demographics
NPI:1366657686
Name:VENTURA COUNTY HEALTH CARE AGENCY
Entity Type:Organization
Organization Name:VENTURA COUNTY HEALTH CARE AGENCY
Other - Org Name:VENTURA COUNTY BEHAVIORAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:HEALTH CARE AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-677-5110
Mailing Address - Street 1:133 W. SANTA CLARA
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001
Mailing Address - Country:US
Mailing Address - Phone:805-641-5745
Mailing Address - Fax:
Practice Address - Street 1:300 N. HILLMONT AVE.
Practice Address - Street 2:FFS MFCC
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:805-641-5745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0000056A7Medicaid