Organization · Type 2 NPI

El Dorado County Community Health Center

Federally Qualified Health Center (FQHC) · Cameron Park, CA

NPI number 1073981783 Active

Practice location

3100 Ponte Morino Dr, Suite 120
Cameron Park, CA 95682-7432

Call (530) 621-7700 Map

Mailing address

4212 Missouri Flat Rd
Placerville, CA 95667-6269

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Hai Le, MDFamily Medicine Physician Cameron Park, CA NPI 1184004772

Other federally qualified health center (fqhc) providers in Cameron Park

El Dorado County Community Health CenterFederally Qualified Health Center (FQHC) Cameron Park, CA NPI 1285044990

See all in Cameron Park →

NPI record

NPI: 1073981783
Entity type: Organization (Type 2)
Issued: Sep 11, 2015
Last updated: Nov 21, 2023
Status: Active
Subpart: Yes of El Dorado County Community Health Center

Other names

<unavail>
El Dorado Community Health Center Cameron Park Main · doing business as
El Dorado Community Health Center Cameron Park Main · doing business as

Authorized official

Judy Stein, CFO
CFO
(530) 748-2327

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073981783

El Dorado County Community Health Center's National Provider Identifier is 1073981783, issued on Sep 11, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Cameron Park, CA. The record was last updated on Nov 21, 2023.