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Corcoran District Hospital

Organization Active NPI Rural Health Clinic/Center · Corcoran, CA

NPI 1255460176 · NPPES record last updated Feb 12, 2008

Key facts

NPI
1255460176
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
040000087 (CA)
Legal business name
CORCORAN DISTRICT HOSPITAL
Practice address
1310 Hanna Ave
#3
Corcoran, CA 93212-2314
Phone
(559) 992-5051
Fax
(559) 992-3972
NPI assigned
Mar 5, 2007
Organization subpart
Yes
Parent organization (as reported)
CORCORAN DISTRICT HOSPITAL

Authorized official

Name
Debbie Bach
Title
Chief Financial Officer
Phone
(559) 992-5051

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

National Provider Directory

Part of
Corcoran District Hosp

Locations

1310 Hanna Ave
#3
Corcoran, CA 93212
Phone (559) 992-5051

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 040000087 CA Yes

Addresses

Primary practice location

1310 Hanna Ave
#3
Corcoran, CA 93212-2314

Mailing address

1310 Hanna Ave
#3
Corcoran, CA 93212-2314
Phone (559) 992-5051

Other identifiers

IdentifierTypeStateIssuer
RHM53932GMedicaidCA

Other names

  • Corcoran District Hospital Health Center Doing business as

Other providers in Corcoran, CA

All providers in Corcoran, CA · Rural Health Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.