Organization Active NPI

Palo Verde Healthcare District

  • Medicare Defined Swing Bed Hospital Unit
  • Blythe, CA
National Provider Identifier
1114690609
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
PALO VERDE HEALTHCARE DISTRICT
Practice address
250 N 1St St
Blythe, CA 92225-1702
Phone
(760) 922-4119
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Sandra J Anaya, RN
Title
Ceo
Phone
(760) 922-4115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

250 N 1St St
Blythe, CA 92225-1702

Mailing address

250 N 1St St
Blythe, CA 92225-1702
Phone (760) 922-4119

Other names 1

  • Palo Verde Hospital Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1114690609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N 1ST ST",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251702",
            "telephone_number": "760-922-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N 1ST ST",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251702",
            "telephone_number": "760-922-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO VERDE HEALTHCARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "ANAYA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-922-4115",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palo Verde Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palo Verde Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blythe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.