Provider Demographics
NPI:1508072588
Name:COUNTY OF SOLANO
Entity Type:Organization
Organization Name:COUNTY OF SOLANO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:H&SS CHIEF DEP ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:GIRLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JARUMAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-784-8387
Mailing Address - Street 1:275 BECK AVENUE, MS 5210
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533
Mailing Address - Country:US
Mailing Address - Phone:707-784-8571
Mailing Address - Fax:
Practice Address - Street 1:275 BECK AVENUE MS 5210
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-6804
Practice Address - Country:US
Practice Address - Phone:707-784-8571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAYD000260Medicaid
CABCP11441FMedicaid
CADOT00006FMedicaid
CABCP11489FMedicaid
CACCS00067FMedicaid
CAFHC11441FMedicaid
CAFHC11489FMedicaid
CAHAP11441FMedicaid
CACCS00064FMedicaid
CAHAP11489FMedicaid
CAZZZ17308ZMedicaid
CAZZZ28053ZMedicare PIN
CAZZZ17308ZMedicare PIN
CAAYD000260Medicaid
CAHAP11441FMedicaid
CACCS00064FMedicaid
CACCS00067FMedicaid
CAFHC11441FMedicaid
CAZZZ73029ZMedicare PIN
CAZZZ72594ZMedicare PIN