Organization
COUNTY OF EL DORADO
Active
Parent organization
COUNTY OF EL DORADO
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF EL DORADO
Authorized official
MR. MICHAEL UNGEHEUER MN, RN, PHN (DEPUTY DIRECTOR - PUBLIC HEALTH DIV)
(530) 621-6129
Entity
Organization
Contact information
Practice address
931 SPRING ST, PLACERVILLE, CA 95667-4543
(530) 621-6100
(530) 295-2501
Mailing address
929 SPRING ST, PLACERVILLE, CA 95667-4543
(530) 621-6372
(530) 295-2580
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR11481F
—
CA
Enumeration date
04/12/2007
Last updated
08/16/2021
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