# COUNTY OF ALPINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801070909
- **Authorized official:** RICHARD O JOHNSON M.D. (MPH - PUBLIC HEALTH OFFICER)
- **Authorized official phone:** (530) 694-2146

## Contact information

- **Practice address:** 75 DIAMOND VALLEY RD, UNIT B, MARKLEEVILLE, CA 96120-9512
- **Practice address phone:** (530) 694-2146
- **Practice address fax:** (530) 694-2770
- **Mailing address:** 75 DIAMOND VALLEY ROAD, UNIT B, MARKLEEVILLE, CA 96120-9579
- **Mailing address phone:** (530) 694-2146
- **Mailing address fax:** (530) 694-2770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/26/2007
- **Last updated:** 05/26/2021