Provider Demographics
NPI:1588960090
Name:COUNTY OF NAPA
Entity type:Organization
Organization Name:COUNTY OF NAPA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:HIMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-253-4279
Mailing Address - Street 1:2344 OLD SONOMA RD
Mailing Address - Street 2:BLDG. K - FISCAL
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-3708
Mailing Address - Country:US
Mailing Address - Phone:707-253-4662
Mailing Address - Fax:707-253-4776
Practice Address - Street 1:1917 1ST ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2350
Practice Address - Country:US
Practice Address - Phone:707-253-4279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF NAPA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-31
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2800028Medicaid
BU669ZOtherMEDICARE
CABU669ZMedicare PIN