Placer Dental Clinic Tahoe

LBN: Placer County Community Clinic
Placer Dental Clinic Tahoe is an health care organization with primary practice located at 8665 Salmon Ave , Kings Beach CA 96143-9800. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Placer County Community Clinic can be contacted via phone (530) 546-1970, or through Long, Robert via phone (530) 886-2910.

Contact Information

Primary practice address
8665 Salmon Ave Kings Beach CA 96143-9800
Phone: (530) 546-1970
Fax: (530) 546-4606
Website:
Map and Directions
Authorized official contact:
Name: Long, Robert
Phone: (530) 886-2910

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1952526444
LBN Legal business name Placer County Community Clinic
DBA Doing business as Placer Dental Clinic Tahoe
Authorized official Long, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Jun 5th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952526444 NPPES
California MEDICAID G9260102

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