Dos Palos Memorial Hospital, Inc
Organization Active NPI Clinic/Center · Dos Palos, CA
NPI 1295737401 · NPPES record last updated Mar 15, 2012
Key facts
- NPI
- 1295737401
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 261QR1300X (CA)
- Legal business name
- DOS PALOS MEMORIAL HOSPITAL, INC
- Practice address
- 2118 Marguerite St
Dos Palos, CA 93620-2339 - Phone
- (209) 392-6121
- Fax
- (209) 392-6881
- NPI assigned
- Jun 1, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Ray E Smith
- Title
- Administrator
- Phone
- (209) 392-6121
National Provider Directory
Locations
2118 Marguerite St
Dos Palos, CA 93620
Phone (209) 392-6120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 261QR1300X | CA | Yes |
| Skilled Nursing Facility | 314000000X | 314000000X | CA |
Addresses
Primary practice location
2118 Marguerite St
Dos Palos, CA 93620-2339
Mailing address
2118 Marguerite St
Dos Palos, CA 93620-2339
Phone (209) 392-6121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55311I | Medicaid | CA | |
| RHM18598F | Medicaid | CA |
Other providers in Dos Palos, CA
- George Randall Barsamian
- Robert Allen Bertelli
- Lety Elizabeth Costa
- Dos Palos Apex Health Center Inc
- Dos Palos-Oro Loma Jusd
- Chester Flakes Jr.
- Elizabeth Fonseca
- Alice Ruth Foster-Smith
- Golden Valley Health Center
All providers in Dos Palos, CA · Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.