Provider Demographics
NPI:1396758496
Name:YOLO COUNTY PUBLIC HEALTH DEPARTMENT
Entity type:Organization
Organization Name:YOLO COUNTY PUBLIC HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SISSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD; MPH
Authorized Official - Phone:530-666-8765
Mailing Address - Street 1:137 NORTH COTTONWOOD ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-2515
Mailing Address - Country:US
Mailing Address - Phone:530-666-8945
Mailing Address - Fax:530-666-8674
Practice Address - Street 1:25 N COTTONWOOD ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-6609
Practice Address - Country:US
Practice Address - Phone:530-666-8945
Practice Address - Fax:530-666-8674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251B00000X, 251K00000X, 261QM2500X, 261QC1500X, 261QP0905X, 261QP2000X, 291U00000X
251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALAB 68112FMedicaid
CA05D0668112OtherCLIA LAB NUMBER
CACPH1645OtherSTATE LAB LICENSE