Provider Demographics
NPI:1871613315
Name:CITY & COUNTY OF SAN FRANCISCO
Entity type:Organization
Organization Name:CITY & COUNTY OF SAN FRANCISCO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, BEHAVIORAL HEALTH
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:MCCOLE
Authorized Official - Last Name:WICHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS
Authorized Official - Phone:415-206-6569
Mailing Address - Street 1:1001 POTRERO AVE
Mailing Address - Street 2:SAN FRANCISCO GENERAL HOSPITAL, PSYCH ADMIN., 7M18
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-206-6569
Mailing Address - Fax:415-206-8942
Practice Address - Street 1:887 POTRERO AVE
Practice Address - Street 2:BEHAVIORAL HEALTH CENTER, 2ND FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2869
Practice Address - Country:US
Practice Address - Phone:415-206-6569
Practice Address - Fax:415-206-8942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA02047026283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA8812R3OtherSHORT-DOYLE MEDICAL