Fairchild Medical Center
LBN: Siskiyou Hospital, Inc.
Fairchild Medical Center is an health care organization with primary practice located at 444 Bruce St , Yreka CA 96097-3450. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Rural Health, Hospital Units / Medicare Defined Swing Bed Unit, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty.
Siskiyou Hospital, Inc. can be contacted via phone (530) 842-4121, or through Andrus, Jonathon C via phone (530) 841-6200.
Contact Information
Primary practice address
444 Bruce St
Yreka CA 96097-3450
Phone: (530) 842-4121
Fax: (530) 841-6242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | 230000035 | California |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 230000035 | California |
| Hospital Units / Medicare Defined Swing Bed Unit | 275N00000X | 230000035 | California |
| Hospitals / Critical Access | 282NC0060X | 230000035 | California |
Profile Details
| NPI number | 1093892275 |
|---|---|
| LBN Legal business name | Siskiyou Hospital, Inc. |
| DBA Doing business as | Fairchild Medical Center |
| Authorized official | Andrus, Jonathon C CEO |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Dec 14th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093892275 | NPPES |
| California | MEDICAID | HSP40217F | |
| California | MEDICAID | 058634 | |
| California | MEDICAID | ZZR00217F | |
| California | Other | ZZZJ4702Z |
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