County Of Lake Public Health Department

LBN: County Of Lake Public Health Department
County Of Lake Public Health Department is an health care organization with primary practice located at 7000 B South Civic Center Dr , Clearlake CA 95422. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. County Of Lake Public Health Department can be contacted via phone (707) 994-9433, or through Mcmillan, Craig M via phone (707) 263-1090.

Contact Information

Primary practice address
7000 B South Civic Center Dr Clearlake CA 95422
Phone: (707) 994-9433
Fax: (707) 994-6739
Website:
Map and Directions
Authorized official contact:
Name: Mcmillan, Craig M Doctor of Medicine (MD)
Phone: (707) 263-1090

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1396807459
LBN Legal business name County Of Lake Public Health Department
DBA Doing business as
Authorized official Mcmillan, Craig M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396807459 NPPES
California MEDICAID EXE70121F

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