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Organization
COUNTY OF EL DORADO
Active
Organization
COUNTY OF EL DORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACI SMITH (CHIEF PROBATION OFFICER)
(530) 621-5625
Entity
Organization
Contact information
Practice address
1041 AL TAHOE BLVD., SOUTH LAKE TAHOE, CA 96150-4502
(530) 621-7990
Mailing address
3974 DUROCK RD STE 205, SHINGLE SPRINGS, CA 95682-8568
(530) 621-5625
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/14/2025
Last updated
10/15/2026
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