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EL DORADO COUNTY COMMUNITY HEALTH CENTER NPI 1073981783


NPI Information

NPI: 1073981783
Provider Name: EL DORADO COUNTY COMMUNITY HEALTH CENTER

Doing Business As: EL DORADO COMMUNITY HEALTH CENTER CAMERON PARK MAIN

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3100 PONTE MORINO DR
SUITE 120
CAMERON PARK, CA
ZIP 95682
Phone: (530) 621-7700
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EL DORADO COUNTY COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Cameron Park, CA. EL DORADO COUNTY COMMUNITY HEALTH CENTER NPI is 1073981783. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As El Dorado Community Health Center Cameron Park Main.

The provider's business location address is:

3100 PONTE MORINO DR
SUITE 120
CAMERON PARK, CA
ZIP 95682-432
Phone: (530) 621-7700

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 9/11/2015 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171M00000XCase Manager/Care CoordinatorNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)CALIFORNIAYes

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

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