# NEVADA COUNTY CCS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Champion Mine School MTU
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376696021
- **Authorized official:** ALICE LITTON (CMS COORDINATOR)
- **Authorized official phone:** (530) 265-1450

## Contact information

- **Practice address:** 400 HOOVER LN, NEVADA CITY, CA 95959-2944
- **Practice address phone:** (530) 265-0618
- **Practice address fax:** (530) 265-0524
- **Mailing address:** 500 CROWN POINT CIR, SUITE 110, GRASS VALLEY, CA 95945-9514
- **Mailing address phone:** (530) 265-1450
- **Mailing address fax:** (530) 271-0841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020