| Truckee Service Center | |
|
10015 Palisades Dr Ste 1 Truckee CA 96161-1901 | |
| (530) 587-8194 | |
| Not Available |
| Full Name | Truckee Service Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10015 Palisades Dr, Truckee, California |
| Authorized Official Name and Position | Elaine Ebbert (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 5308785166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Truckee Service Center Po Box 6028 Auburn CA 95604-6028 Ph: (530) 878-5166 | Truckee Service Center 10015 Palisades Dr Ste 1 Truckee CA 96161-1901 Ph: (530) 587-8194 |
| NPI Number | 1376727693 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376727693 | NPI | - | NPPES |
| 29AB | Other | CA | DRUG MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 290002DN (California) | Primary |
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