# COUNTY OF PLACER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Placer County Community Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255453692
- **Authorized official:** MR. ROBERT LONG (CLINIC MANAGER)
- **Authorized official phone:** (530) 889-2910

## Contact information

- **Practice address:** 8665 SALMON AVE, KINGS BEACH, CA 96143-9800
- **Practice address phone:** (530) 546-1970
- **Practice address fax:** (530) 546-4606
- **Mailing address:** 11583 C AVE, AUBURN, CA 95603-2703
- **Mailing address phone:** (530) 889-7215
- **Mailing address fax:** (530) 889-7280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/05/2007
- **Last updated:** 07/24/2008