County Of Mendocino
Legal Business Name
County Of Mendocino
NPI Number
1588730642
NPI Type
Organization
Enumeration Date
11/28/2006
Specialties
(Taxonomies)Name
Code
251B00000X
261Q00000X
291U00000X
302F00000X
261QM0801X
261QF0050X
251J00000X
251K00000X
261QP0905X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
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