Provider Demographics
NPI:1942340997
Name:COUNTY OF MONTEREY
Entity Type:Organization
Organization Name:COUNTY OF MONTEREY
Other - Org Name:MONTEREY COUNTY DEPT OF SOCIAL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:FINANCE MANAGER II
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CROMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-755-4404
Mailing Address - Street 1:1000 S MAIN ST
Mailing Address - Street 2:STE 306
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2352
Mailing Address - Country:US
Mailing Address - Phone:831-755-4404
Mailing Address - Fax:831-755-8476
Practice Address - Street 1:713 LA GUARDIA ST
Practice Address - Street 2:STE A
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93905-3359
Practice Address - Country:US
Practice Address - Phone:831-755-3467
Practice Address - Fax:831-783-7021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAYD000210OtherAIDS MEDI-CAL WAIVER