Dos Palos Memorial Hospital, Inc

LBN: Dos Palos Memorial Hospital, Inc
Dos Palos Memorial Hospital, Inc is an health care organization with primary practice located at 2118 Marguerite St , Dos Palos CA 93620-2339. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Dos Palos Memorial Hospital, Inc can be contacted via phone (209) 392-6121, or through Smith, Ray E via phone (209) 392-6121.

Contact Information

Primary practice address
2118 Marguerite St Dos Palos CA 93620-2339
Phone: (209) 392-6121
Fax: (209) 392-6881
Website:
Map and Directions
Authorized official contact:
Name: Smith, Ray E
Phone: (209) 392-6121

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 261QR1300X California
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 314000000X California

Profile Details

NPI number 1295737401
LBN Legal business name Dos Palos Memorial Hospital, Inc
DBA Doing business as
Authorized official Smith, Ray E
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 15th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295737401 NPPES
California MEDICAID LTC55311I
California MEDICAID RHM18598F

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