Provider Demographics
NPI:1346045275
Name:PLACER COUNTY
Entity type:Organization
Organization Name:PLACER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF PROBATION OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSENHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-889-7900
Mailing Address - Street 1:2929 RICHARDSON DRIVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603
Mailing Address - Country:US
Mailing Address - Phone:530-889-7900
Mailing Address - Fax:530-889-7997
Practice Address - Street 1:11260 B AVENUE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603
Practice Address - Country:US
Practice Address - Phone:530-886-4875
Practice Address - Fax:530-889-7997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care