Organization
EL DORADO COUNTY COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY STEIN (CFO)
(530) 748-2327
Entity
Organization
Contact information
Practice address
4212 MISSOURI FLAT RD, PLACERVILLE, CA 95667-6269
(530) 621-7700
(530) 621-7713
Mailing address
4212 MISSOURI FLAT RD, PLACERVILLE, CA 95667-6269
(530) 621-7700
(530) 621-7713
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70987F
—
CA
Enumeration date
08/16/2006
Last updated
11/21/2023
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