Organization
PLACER COUNTY COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LONG (CLINIC MANAGER)
(530) 886-2910
Entity
Organization
Contact information
Practice address
11584 B AVE, AUBURN, CA 95603-2605
(530) 889-7125
(530) 889-7280
Mailing address
11583 C AVE, AUBURN, CA 95603-2703
(530) 889-7215
(530) 889-7280
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR11537F
—
CA
Enumeration date
04/17/2007
Last updated
08/22/2020
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