Provider Demographics
NPI:1962653634
Name:COUNTY OF SUTTER
Entity Type:Organization
Organization Name:COUNTY OF SUTTER
Other - Org Name:SYBH (MHSA HMONG CENTER)
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT HHS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:530-822-7327
Mailing Address - Street 1:1965 LIVE OAK BLVD STE A
Mailing Address - Street 2:ATTN SYBH (MHSA HMONG CENTER)
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-8850
Mailing Address - Country:US
Mailing Address - Phone:530-822-7200
Mailing Address - Fax:
Practice Address - Street 1:4853 OLIVEHURST AVE
Practice Address - Street 2:ATTN SYBH (MHSA HMONG CENTER)
Practice Address - City:OLIVEHURST
Practice Address - State:CA
Practice Address - Zip Code:95961-4228
Practice Address - Country:US
Practice Address - Phone:530-749-2746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF SUTTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-30
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5888OtherSHORT-DOYLE MEDI-CAL