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Organization

COUNTY OF MARIPOSA

Active
Parent organization
COUNTY OF MARIPOSA
Other names
Mariposa County Adult Detention Facility
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNTY OF MARIPOSA
Authorized official
RANDALL RIDENHOUR (SR. ADMINISTRATIVE ANALYST)
(209) 966-2000
Entity
Organization

Contact information

Practice address
5379 HIGHWAY 49 NORTH, MARIPOSA, CA 95338
(209) 966-2000
Mailing address
PO BOX 5, MARIPOSA, CA 95338-0005
(209) 966-2000

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
163W00000X
Registered Nurse
164X00000X
Licensed Vocational Nurse
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
207R00000X
Internal Medicine Physician
Primary
2083P0901X
Public Health & General Preventive Medicine Physician
2084P0800X
Psychiatry Physician
363LC1500X
Community Health Nurse Practitioner

Other

Enumeration date
07/10/2023
Last updated
07/10/2023
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