Organization
COUNTY OF MERCED
Active
Other names
BHRS-RAFT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT CRAIG CIPP/US (COMPLIANCE OFFICER)
(209) 381-6800
Entity
Organization
Contact information
Practice address
480 E 13TH ST, MERCED, CA 95341-6214
(209) 381-6800
Mailing address
PO BOX 2087, MERCED, CA 95344-0087
(209) 381-6800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
04/27/2018
Last updated
08/08/2019
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