Organization
COUNTY OF CALAVERAS
Active
Organization
COUNTY OF CALAVERAS
Active
Other names
Calaveras Public Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H. LAWLESS (DEPUTY DIRECTOR OF HHS)
(209) 754-2816
Entity
Organization
Contact information
Practice address
700 MOUNTAIN RANCH RD, C-2, SAN ANDREAS, CA 95249-9707
(209) 754-6460
(209) 754-6459
Mailing address
891 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9713
(209) 754-6460
(209) 754-6459
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08481507
—
CA
Enumeration date
08/30/2006
Last updated
07/28/2016
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