ALPINE COUNTY BEHAVIORAL HEALTH SERVICES - NPI 1972039105 - Point of Service in Markleeville, CA

Q: What is the provider's specialty?

The provider's specialty is Point of Service with taxonomy code 305S00000X.

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About Alpine County Behavioral Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALPINE COUNTY BEHAVIORAL HEALTH SERVICES (NPI 1972039105) is a healthcare organization registered as a point of service in Markleeville, California and active in the NPI registry since May 2017. The organization lists Alissa R Nourse, Bhs Director, as its authorized official.

NPPES Registry Identity

NPI1972039105

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameALPINE COUNTY BEHAVIORAL HEALTH SERVICES

Location Address75 DIAMOND VALLEY RD UNIT CMarkleeville, CA 96120-9579

Mailing Address75 Diamond Valley Rd Unit CMarkleeville, CA 96120-9579 · (530) 694-1816 · Fax (530) 694-2387

Phone(530) 694-1816

Fax(530) 694-2387

Organization SubpartNo

Authorized OfficialAlissa R NourseBhs Director · (530) 694-1816

Enumeration DateMay 9, 2017

✔ NPI 1972039105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

License✔ Licensed in CA · LR02471016

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

75 DIAMOND VALLEY RD UNIT C, Markleeville, CA 96120

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0683099

Alpine County Health Department · Markleeville, CA

Active · expires Sep 29, 2026

CLIA Number05D0683099

Laboratory TypeOther

Certificate Effective DateSeptember 30, 2024

Certificate Expiration DateSeptember 29, 2026

Laboratory DirectorRichard O. Johnson, MD

Laboratory Phone(530) 694-2146

Laboratory LocationAlpine County Health Department75 B Diamond Valley Road, Markleeville, CA 96120

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NADIA JACQUELINE BARATTI CADC-I

Counselor (Addiction (Substance Use Disorder))