DOS PALOS MEMORIAL HOSPITAL, INC
Skilled Nursing Facility
Dos Palos, California
Provider NPI: 1295737401
Organization Information:Organization Name: DOS PALOS MEMORIAL HOSPITAL, INC
Practice Location:
2118 MARGUERITE ST DOS PALOS, CA 93620 US
Tel: 209-392-6121 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:
2118 MARGUERITE ST DOS PALOS, CA 93620 US
Tel: 209-392-6121 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CA | 314000000X |
Y | 261Q00000X | Ambulatory Health Care Facilities Clinic/Center | CA | 261QR1300X |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LTC55311I | CA | 05 | |
RHM18598F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin