Fresno County Older Adult Mh Team

LBN: Fresno County
Fresno County Older Adult Mh Team is an health care organization with primary practice located at 4447 E Kings Canyon Rd , Fresno CA 93702-3604. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Fresno County can be contacted via phone (559) 253-9180, or through Holt, Susan Leigh via phone (559) 600-9058.

Contact Information

Primary practice address
4447 E Kings Canyon Rd Fresno CA 93702-3604
Phone: (559) 253-9180
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holt, Susan Leigh
Phone: (559) 600-9058

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 000001083 California

Profile Details

NPI number 1861527517
LBN Legal business name Fresno County
DBA Doing business as Fresno County Older Adult Mh Team
Authorized official Holt, Susan Leigh
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Oct 10th, 2023 - about 2 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 1861527517 NPPES
California MEDICAID 000001083
California Other 2178

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