Provider Demographics
NPI:1700959863
Name:COUNTY OF NEVADA
Entity Type:Organization
Organization Name:COUNTY OF NEVADA
Other - Org Name:NEVADA COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR ADMINISTRATIVE ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-847-8446
Mailing Address - Street 1:500 CROWN POINT CIRCLE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-9514
Mailing Address - Country:US
Mailing Address - Phone:530-265-1450
Mailing Address - Fax:530-271-0837
Practice Address - Street 1:500 CROWN POINT CIRCLE
Practice Address - Street 2:SUITE 110
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-9514
Practice Address - Country:US
Practice Address - Phone:530-265-1450
Practice Address - Fax:530-271-0837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZR12011FMedicaid