Provider Demographics
NPI:1881831766
Name:VENTURA CO HEALTH CARE
Entity Type:Organization
Organization Name:VENTURA CO HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, PUBLIC HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-981-5308
Mailing Address - Street 1:3147 LOMA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-2917
Mailing Address - Country:US
Mailing Address - Phone:805-648-9560
Mailing Address - Fax:805-648-9561
Practice Address - Street 1:3147 LOMA VISTA RD
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2917
Practice Address - Country:US
Practice Address - Phone:805-648-9560
Practice Address - Fax:805-648-9561
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VENTURA COUNTY HEALTH CARE AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAYD000130Medicaid