Organization
MARIPOSA COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK MICHAEL SERGIENKO M.D., MPH (COUNTY HEALTH OFFICER)
(209) 966-3689
Entity
Organization
Contact information
Practice address
5085 BULLION ST., MARIPOSA, CA 95338
(209) 966-3689
(209) 966-4929
Mailing address
PO BOX 5, MARIPOSA, CA 95338-0005
(209) 966-3689
(209) 966-4929
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QA0005X
Ambulatory Family Planning Facility
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
03/14/2017
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