| Sierra County | |
|
22 Maiden Ln Downieville CA 95936 | |
| (530) 289-3711 | |
| (530) 289-3716 |
| Full Name | Sierra County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22 Maiden Ln, Downieville, California |
| Authorized Official Name and Position | Robert Walter Szopa (PROGRAM MANAGER) |
| Authorized Official Contact | 5309936746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra County Po Box 38 Downieville CA 95936-0038 Ph: (530) 289-3711 | Sierra County 22 Maiden Ln Downieville CA 95936 Ph: (530) 289-3711 |
| NPI Number | 1104434372 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 10/02/2020 |
| Certification Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104434372 | NPI | - | NPPES |
| 1114145752 | Other | CA | NPI FOR OUR OTHER LOCATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |