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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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