1730212937 NPI number — EL DORADO COUNTY CCS

Table of content: (NPI 1730212937)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730212937 NPI number — EL DORADO COUNTY CCS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EL DORADO COUNTY CCS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730212937
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
931 SPRING ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLACERVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95667-4543
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-621-6128
Provider Business Mailing Address Fax Number:
530-622-5109

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 LYONS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH LAKE TAHOE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96150-8252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-543-2313
Provider Business Practice Location Address Fax Number:
530-543-2275
Provider Enumeration Date:
03/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ERBE-HAMLIN
Authorized Official First Name:
GAYLE
Authorized Official Middle Name:
Authorized Official Title or Position:
PUBLIC HEALTH DIRECTOR
Authorized Official Telephone Number:
530-621-6191

Provider Taxonomy Codes

  • Taxonomy code: 261QR0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CCS00108F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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