Provider Demographics
NPI:1861943805
Name:COUNTY OF VENTURA
Entity type:Organization
Organization Name:COUNTY OF VENTURA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH CARE AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-677-5272
Mailing Address - Street 1:2323 KNOLL DR
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7307
Mailing Address - Country:US
Mailing Address - Phone:805-677-5210
Mailing Address - Fax:
Practice Address - Street 1:5851 THILLE ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5414
Practice Address - Country:US
Practice Address - Phone:805-677-5110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF VENTURA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental