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Organization

YOLO COUNTY PUBLIC HEALTH DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AIMEE SISSON M.D.; MPH (HEALTH OFFICER)
(530) 666-8765
Entity
Organization

Contact information

Practice address
25 N COTTONWOOD ST, WOODLAND, CA 95695-6609
(530) 666-8945
(530) 666-8674
Mailing address
137 NORTH COTTONWOOD ST, WOODLAND, CA 95695-2515
(530) 666-8945
(530) 666-8674

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
CA
251K00000X
Public Health or Welfare Agency
CA
251K00000X
Public Health or Welfare Agency
Primary
261QC1500X
Community Health Clinic/Center
CA
261QM2500X
Medical Specialty Clinic/Center
CA
261QP0905X
State or Local Public Health Clinic/Center
CA
261QP2000X
Physical Therapy Clinic/Center
CA
291U00000X
Clinical Medical Laboratory
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05D0668112
CLIA LAB NUMBER
CA
01
CPH1645
STATE LAB LICENSE
CA
05
LAB 68112F
CA
Enumeration date
08/14/2006
Last updated
01/23/2023
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