HSS 1 STOP FORT SAGE


Address: D.s. Hall Street, Bldg 170, Herlong, CA 96130
Phone: 5302518108

HSS 1 STOP FORT SAGE (NPI# 1720277403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720277403
Entity Type Organization
Organization Name HSS 1 STOP FORT SAGE
Other Organization Name HERLONG ONE STOP CENTER
Practice Address D.s. Hall Street
Bldg 170
Herlong
CA 96130
Practice Telephone 5302518108
Mailing Telephone 5302518108
Enumeration Date 2007-10-18
Last Update Date 2008-07-03
Authorized Official Name MR. KEN CRANDALL (DIRECTOR OF MENTAL HEALTH SERVICES)
Authorized Official Telephone 5302518108
Authorized Official Credential A.S.W.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Herlong One Stop Center Other Name - Individual/Organization

Office Location

Street Address D.S. HALL STREET
BLDG 170
City HERLONG
State CA
Zip Code 96130

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932753456 Shaughn Randall Whittaker Nurse Practitioner 1860 Paul Bunyan Rd, Susanville, CA 96130 2019-08-01
1871980847 Katie Gaffney Acupuncturist 1850 Spring Ridge Dr., Susanville, CA 96130 2015-04-17
1952678435 Linda Vixie Dentist 3020 Johnstonville Rd., Susanville, CA 96130 2011-11-28
1942503057 Pamela Sue Vallalvazo Counselor 1445 Paul Bunyon Rd., Susanville, CA 96130 2010-12-10
1255631883 Jessica Smyth Counselor 1400 Chestnut Street # A, Susanville, CA 96130 2010-10-29
1295045276 Danielle Hardy Counselor 1400 Chestnut Street Suite A, Susanville, CA 96130 2010-10-08
1982921417 Ronald Spencer Tucker Jr. Counselor 4119 Johnstonville Road, #270503, Susanville, CA 96130 2010-04-23
1609107945 Timothy J Nolan Psychologist 803 1/2 Main St., Suite 104, Susanville, CA 96130 2010-01-27
1528243649 Daniel Martin Bruce Case Manager/Care Coordinator 720-a Richmond Road, Susanville, CA 96130 2008-01-08
1679757785 Michael Charles Giddings Dentist 475 Rice Canyon Rd, Susanville, CA 96130 2007-12-26
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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1346849213 Greystone Behavioral Health Nursing Inc Community/Behavioral Health 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 2020-10-22
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1578162616 Bayfront Healthcare Services Community/Behavioral Health 2703 N Studebaker Rd, Long Beach, CA 90815-1628 2020-10-20
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Competitor

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City HERLONG
Zip Code 96130

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Dataset Information

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.

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