Organization
MARIPOSA COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES B MOSHER M.D. (COUNTY HEALTH OFFICER)
(209) 966-3689
Entity
Organization
Contact information
Practice address
4988 ELEVENTH STREET, MARIPOSA, CA 95338-0005
(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
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH02107
MEDI-CAL
CA
Enumeration date
02/09/2007
Last updated
08/22/2020
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