PLACER COUNTY COMMUNITY CLINIC NPI 1952526444

NPI Information

NPI: 1952526444
Provider Name: PLACER COUNTY COMMUNITY CLINIC

Other Name: PLACER DENTAL CLINIC TAHOE

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
8665 SALMON AVE
KINGS BEACH, CA
ZIP 96143
Phone: (530) 546-1970
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PLACER COUNTY COMMUNITY CLINIC is a public health or welfare in Kings Beach, CA. PLACER COUNTY COMMUNITY CLINIC NPI is 1952526444. The provider is registered as an organization entity type.
The provider Other Name Is Placer Dental Clinic Tahoe.

The provider's business location address is:

8665 SALMON AVE
KINGS BEACH, CA
ZIP 96143-800
Phone: (530) 546-1970
Fax: (530) 546-4606

The provider's authorized official is Robert Long .
The authorized official title is Clinic Manager and has the following contact phone number (530) 886-2910.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 6/5/2008.

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	251K00000X	Public Health or Welfare				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	G9260102	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: 4/28/2024

NPI Synchronization or Removal

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