EL DORADO COUNTY COMMUNITY HEALTH CENTER NPI 1285044990

NPI Information

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 1285044990. The provider is registered as an organization entity type.
The provider Is Doing Business As El Dorado Community Health Center Cameron Park.

The provider's business location address is:

3104 PONTE MORINO DR
SUITE 110
CAMERON PARK, CA
ZIP 95682-282
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 CLIA number assigned to this NPI record is 05D1012075 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/2/2014 and was last updated on 3/15/2023.

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:

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