| El Dorado Community Health Center Cameron Park | |
|
3104 Ponte Morino Dr Suite 110 Cameron Park CA 95682-8282 | |
| (530) 621-7700 | |
| (530) 621-7713 |
| Full Name | El Dorado Community Health Center Cameron Park |
|---|---|
| Speciality | Clinic/Center |
| Location | 3104 Ponte Morino Dr, Cameron Park, California |
| Authorized Official Name and Position | Judy Stein (CFO) |
| Authorized Official Contact | 5307482327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Dorado Community Health Center Cameron Park 4212 Missouri Flat Rd Placerville CA 95667-6269 Ph: (530) 621-7700 | El Dorado Community Health Center Cameron Park 3104 Ponte Morino Dr Suite 110 Cameron Park CA 95682-8282 Ph: (530) 621-7700 |
| NPI Number | 1285044990 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 03/15/2023 |
| Medicare PECOS PAC ID | 6204804883 |
|---|---|
| Medicare Enrollment ID | O20150702002582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285044990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Innovative Treatment Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3581 Palmer Dr Ste 601, Cameron Park, CA 95682 Phone: 530-391-9196 | |
John Kelada M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Camerado Dr, Cameron Park, CA 95682 Phone: 530-677-3688 | |
Mark Blatt Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3175 Granada Dr, Cameron Park, CA 95682 Phone: 203-512-3152 | |
Mercy Medical Group, A Service Of Chw Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3581 Palmer Dr, Suite 402, Cameron Park, CA 95682 Phone: 530-676-7337 Fax: 530-676-1141 | |
Center For Functional & Integrative Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3104 Ponte Morino Dr, Suite 110, Cameron Park, CA 95682 Phone: 530-626-8300 Fax: 530-626-7617 | |
Innovative Treatment Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3581 Palmer Dr Ste 601, Cameron Park, CA 95682 Phone: 530-556-5363 |