Organization
CCS MEDICAL THERAPY PROGRAM
Active
Parent organization
KERN COUNTY DEPARTMENT OF PUBLIC HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
KERN COUNTY DEPARTMENT OF PUBLIC HEALTH
Authorized official
MR. MATTHEW CONSTANTINE (DIRECTOR OF PUBLIC HEALTH SERVICES)
(661) 868-0301
Entity
Organization
Contact information
Practice address
1959 PRINCETON ST., ROOM 33, DELANO, CA 93215-1523
(661) 725-6452
(661) 725-6170
Mailing address
1800 MT. VERNON AVENUE, BAKERSFIELD,, CA 93306-3302
(661) 868-0306
(661) 868-0268
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CCS00112F
—
CA
Enumeration date
01/31/2007
Last updated
07/21/2022
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