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NPI Code Detail

MEDICARE: PLACER COUNTY CCS

MEDICARE: PLACER COUNTY CCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992875371
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLACER COUNTY CCS
Provider Business Mailing Address
First Line : 11484 B AVE
Second Line :
City : AUBURN
State : CA
Zip : 95603-2603
Country : US
Telephone Number : 530-886-3630
Fax Number : 530-886-3613
Provider Business Practice Location Address
First Line : 8951 VALLEY VIEW DR
Second Line :
City : NEWCASTLE
State : CA
Zip : 95658-9723
Country : US
Telephone Number : 916-415-4486
Fax Number : 916-663-0212
Authorized Official
Title or Position : CCS ADMINISTRATOR
Name : MRS. SARAH R MORGAN
Credential : MBA
Telephone Number : 530-886-3676
Provider Enumeration Date : 11/09/2006
Last Update Date : 08/22/2020

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Directions to “PLACER COUNTY CCS ” Practice Location

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