Provider Demographics
NPI:1467584805
Name:COUNTY OF MONTEREY
Entity Type:Organization
Organization Name:COUNTY OF MONTEREY
Other - Org Name:ADULT SERVICES PROGRAM SALINAS VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QUALITY IMPROVEMNET
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-755-4545
Mailing Address - Street 1:1441 CONSTITUTION BLVD
Mailing Address - Street 2:BLDG. 400, SUITE 202
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-3100
Mailing Address - Country:US
Mailing Address - Phone:831-796-1700
Mailing Address - Fax:831-769-0552
Practice Address - Street 1:1441 CONSTITUTION BLVD
Practice Address - Street 2:BLDG. 400, SUITE 202
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3100
Practice Address - Country:US
Practice Address - Phone:831-796-1700
Practice Address - Fax:831-769-0552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ23290ZMedicare PIN