TEHAMA COUNTY HEALTH SERVICES AGENCY - MENTAL HEALTH DIVISION, VW (NPI# 1164638334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164638334 |
| Entity Type | Organization |
| Organization Name | TEHAMA COUNTY HEALTH SERVICES AGENCY - MENTAL HEALTH DIVISION, VW |
| Practice Address |
1445 Vista Way Red Bluff CA 96080-4510 |
| Mailing Address |
Po Box 400 Red Bluff CA 96080-0400 |
| Practice Telephone | 5305278491 |
| Practice Fax Number | 5305270240 |
| Mailing Telephone | 5305278491 |
| Mailing Fax Number | 5305270240 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | MS. VALERIE S LUCERO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5305278491 |
| Is Organization Subpart | Y |
| Parent Organization Name | TEHAMA COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000005248 | 05 |
| Street Address |
1445 VISTA WAY |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154418770 | Susan Lynn Reedy | Case Manager/Care Coordinator | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2006-10-06 |
| 1053977587 | Paul Doulas Kannard | Marriage & Family Therapist | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2019-05-09 |
| 1609341825 | Ana Figueroa | Case Manager/Care Coordinator | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2018-10-04 |
| 1942799960 | Amber Mae Wilburn | Nurse's Aide | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2018-05-04 |
| 1295180701 | Laura Ann Purcell | Counselor | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2016-05-03 |
| 1114300779 | Elizabeth Ogsbury | Case Manager/Care Coordinator | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2015-07-01 |
| 1326386665 | Jovita Ibarra Garcia | Case Management | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2013-01-22 |
| 1699072926 | Mandee Jean Reed | Nurse's Aide | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2011-02-23 |
| 1073785531 | Terri Lee Price Opdyke | Counselor | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2008-03-25 |
| 1952435992 | Mark Morlan | Counselor | 1445 Vista Way, Red Bluff, CA 96080-4510 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750703997 | Tehama County Health Services Agency | Clinic/Center | 1740 Walnut St, Red Bluff, CA 96080-3667 | 2014-01-07 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.