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Organization

PLACER COUNTY COMMUNITY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT LONG (CLINIC MANAGER)
(530) 886-2910
Entity
Organization

Contact information

Practice address
11526 C AVE, AUBURN, CA 95603-2704
(530) 889-7188
(530) 889-6811
Mailing address
11583 C AVE, AUBURN, CA 95603-2703
(530) 889-7215
(530) 889-7280

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G92601-01
CA
Enumeration date
03/22/2007
Last updated
08/10/2007
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