Kaiser Foundation Hospital-Manteca Dpsnf

LBN: Kaiser Foundation Hospitals
Kaiser Foundation Hospital-Manteca Dpsnf is an health care organization with primary practice located at 1777 W Yosemite Ave , Manteca CA 95337-5130. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Kaiser Foundation Hospitals can be contacted via phone (209) 825-3625, or through Friberg, Deborah via phone (209) 735-4146.

Contact Information

Primary practice address
1777 W Yosemite Ave Manteca CA 95337-5130
Phone: (209) 825-3625
Fax: (209) 825-3627
Website:
Map and Directions
Authorized official contact:
Name: Friberg, Deborah
Phone: (209) 735-4146

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 030000393 California

Profile Details

NPI number 1154496867
LBN Legal business name Kaiser Foundation Hospitals
DBA Doing business as Kaiser Foundation Hospital-Manteca Dpsnf
Authorized official Friberg, Deborah
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Apr 22nd, 2021 - about 4 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 1154496867 NPPES
California MEDICAID LTC55601H
California MEDICAID LTC70075H
California MEDICAID GR0093734

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