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SOUTH LAKE TAHOE MTU
NPI 1730212937
Clinic/Center - Rehabilitation in South Lake Tahoe, CA

Active since March 14, 2007
1100 LYONS AVE, SOUTH LAKE TAHOE, CA 96150(530) 543-2313(530) 543-2275 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Lake Tahoe Mtu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH LAKE TAHOE MTU (NPI 1730212937) is a healthcare organization registered as a rehabilitation in South Lake Tahoe, California and active in the NPI registry since March 2007. The organization lists Gayle Erbe-hamlin, Public Health Director, as its authorized official.

NPPES Registry Identity

NPI1730212937
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameEL DORADO COUNTY CCS
Location Address1100 LYONS AVESouth Lake Tahoe, CA 96150-8252
Mailing Address931 Spring StPlacerville, CA 95667-4543 · (530) 621-6128 · Fax (530) 622-5109
Phone(530) 543-2313
Fax(530) 543-2275
Organization SubpartNo
Authorized OfficialGayle Erbe-hamlinPublic Health Director · (530) 621-6191
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730212937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
1100 LYONS AVE, South Lake Tahoe, CA 96150
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Other Names 1

Doing Business AsSouth Lake Tahoe Mtu

Other Identifiers 1

MedicaidCCS00108FCA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY JACKSON MED COUNSELING
Counselor (School)
1100 LYONS AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 307-4046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is El Dorado County Ccs's NPI number?

The NPI number for El Dorado County Ccs is 1730212937. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as South Lake Tahoe Mtu.

Where is El Dorado County Ccs located?

El Dorado County Ccs is located at 1100 Lyons Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 543-2313.

What is El Dorado County Ccs's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for El Dorado County Ccs was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.