| Sierra Vista - North | |
|
645 Kentucky Greens Way Newcastle CA 95658 | |
| (916) 415-4400 | |
| Not Available |
| Full Name | Sierra Vista - North |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 645 Kentucky Greens Way, Newcastle, California |
| Authorized Official Name and Position | Maureen F Bauman (DIRECTOR OF ADULT SYSTEM OF CARE) |
| Authorized Official Contact | 5308897256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Vista - North 645 Kentucky Greens Way Newcastle CA 95658 Ph: (916) 415-4400 | Sierra Vista - North 645 Kentucky Greens Way Newcastle CA 95658 Ph: (916) 415-4400 |
| NPI Number | 1063539609 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063539609 | NPI | - | NPPES |
| 3186 | Other | CA | STATE OF CA MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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