CLINTON VILLAGE CONVALESCENT HOSPITAL
Long Term Care Hospital
Oakland, California
Provider NPI: 1558545384
Organization Information:Organization Name: CLINTON VILLAGE CONVALESCENT HOSPITAL
Practice Location:
1833 10TH AVE OAKLAND, CA 94606 US
Tel: 510-536-6510 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1833 10TH AVE OAKLAND, CA 94606 US
Tel: 510-536-6510 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | CA | LTC90086F |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LTC90086F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin