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Organization

COUNTY OF CALAVERAS

Active
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Organization

COUNTY OF CALAVERAS

Active
Parent organization
COUNTY OF CALAVERAS
Other names
County of Calaveras Detention Facility
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNTY OF CALAVERAS
Authorized official
STACEY MEILY (BUSINESS ADMINISTRATOR)
(209) 754-6516
Entity
Organization

Contact information

Practice address
1045 JEFF TUTTLE RD, SAN ANDREAS, CA 95249-9799
(209) 754-6556
Mailing address
1045 JEFF TUTTLE RD, SAN ANDREAS, CA 95249-9799
(209) 754-6556

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
02/02/2026
Last updated
07/17/2026
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