Organization

County Of Mendocino

Legal Business Name

County Of Mendocino

NPI Number

1588730642

NPI Type

Organization

Enumeration Date

11/28/2006

Contact
Information

Purpose

Mailing
Location

Address

501 LOW GAP RD
860 N BUSH ST

City

Ukiah
Ukiah

State

CA
CA

Postal Code

95482-3738
95482-3919

Country

US
US

Telephone Number

N/A
(707) 463-4303

Authorized Official

Name

Ana Mahoney

Title or Position

DIRECTOR

Telephone Number

(707) 472-2789

Identifiers

Identifier

LAB58594F
ZZR11485F
2305
2302
2306
00023

Identifier State

CA
CA
CA
CA
CA
CA

Identifier Issuer

PH LAB MEDICAL INDENTIFIE
PH MEDICAL IDENTIFIER
AODP DRUG MEDICAL UKIAH
AODP DRUG MEDICAL WILLITS
AODP DRUG MEDICAL FTBRAGG
MH COUNTY MEDICAL IDENTIF

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/28/2011

Provider Address