EL DORADO COUNTY COMMUNITY HEALTH CENTER NPI 1316050107

NPI Information

NPI: 1316050107
Provider Name: EL DORADO COUNTY COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4212 MISSOURI FLAT RD
PLACERVILLE, CA
ZIP 95667
Phone: (530) 621-7700
Get Directions

EL DORADO COUNTY COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Placerville, CA. EL DORADO COUNTY COMMUNITY HEALTH CENTER NPI is 1316050107. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4212 MISSOURI FLAT RD
PLACERVILLE, CA
ZIP 95667-269
Phone: (530) 621-7700
Fax: (530) 621-7713

The provider's authorized official is Judy Stein .
The authorized official title is Cfo and has the following contact phone number (530) 748-2327.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 11/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FHC70987F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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