Organization Active NPI

Fremont Medical Center

  • General Acute Care Hospital
  • Yuba City, CA
National Provider Identifier
1063631786
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
FREMONT MEDICAL CENTER
Practice address
970 Plumas St
Yuba City, CA 95991-4019
Phone
(530) 749-4325
Fax
(530) 749-4375
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Woodward
Title
Cfo
Phone
(530) 749-4325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X CA Primary

Addresses

Primary practice location

970 Plumas St
Yuba City, CA 95991-4019

Mailing address

970 Plumas St
Yuba City, CA 95991-4019
Phone (530) 749-4325

Other identifiers 2

IdentifierTypeStateIssuer
ZZR00207FMedicaidCA
HSP40207FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 050207

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FREMONT MEDICAL CENTER
Certification status
Terminated Other: provider status change, Nov 1, 2004
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 6, 1991
Beds
128
Ownership / control type
Other
Facility address
970 Plumas St
Yuba City, CA 95991

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063631786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 PLUMAS ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914019",
            "telephone_number": "530-749-4325",
            "fax_number": "530-749-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 PLUMAS ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914019",
            "telephone_number": "530-749-4325",
            "fax_number": "530-749-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-749-4325"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00207F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40207F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.