Marie Green Psychiatric Healthcare Facility

LBN: County Of Merced
Marie Green Psychiatric Healthcare Facility is an health care organization with primary practice located at 300 E 15Th St Ste B , Merced CA 95341-6217. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. County Of Merced can be contacted via phone (209) 381-6879, or through Craig, Kurt via phone (209) 381-6818.

Contact Information

Primary practice address
300 E 15Th St Ste B Merced CA 95341-6217
Phone: (209) 381-6879
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Craig, Kurt MIPP/US
Phone: (209) 381-6818

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X 106244027 California
Hospitals / Psychiatric Hospital 283Q00000X
Hospitals / Psychiatric Hospital 283Q00000X California

Profile Details

NPI number 1013030808
LBN Legal business name County Of Merced
DBA Doing business as Marie Green Psychiatric Healthcare Facility
Authorized official Craig, Kurt MIPP/US
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Aug 27th, 2019 - 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 1013030808 NPPES
California MEDICAID 2415

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