NPIMap

Organization Active NPI

Fallbrook Hospital District

  • General Acute Care Hospital
  • Fallbrook, CA
National Provider Identifier
1447222674
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
080000426 Issued in CA
Legal business name
FALLBROOK HOSPITAL DISTRICT
Doing business as
Fallbrook Hospital
Practice address
624 E Elder St
Fallbrook, CA 92028-3004
Phone
(760) 728-1191
Fax
(760) 728-0683
NPI assigned
Feb 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Stephen J Abbott
Title
Authorized Official
Phone
(760) 731-9187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 080000426 CA Primary

Addresses

Primary practice location

624 E Elder St
Fallbrook, CA 92028-3004

Mailing address

624 E Elder St
Fallbrook, CA 92028-3004
Phone (760) 728-1191

Other identifiers 3

IdentifierTypeStateIssuer
ZZT40435FMedicaidCA
050435OtherAARP
ZZZC3704ZOtherBCBS

Other names 1

  • Fallbrook Hospital Doing business as

Medicare participation

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

Hospital certification: CCN 050435

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
FALLBROOK HOSPITAL DISTRICT
Certification status
Terminated Voluntary: merger or closure, Mar 15, 2017
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 24, 2014
Beds
140
Ownership / control type
Hospital district or authority
Facility address
624 E Elder Street
Fallbrook, CA 92028

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1447222674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E ELDER ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283004",
            "telephone_number": "760-728-1191",
            "fax_number": "760-728-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E ELDER ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283004",
            "telephone_number": "760-728-1191",
            "fax_number": "760-728-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLBROOK HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "760-731-9187"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "080000426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40435F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP",
            "identifier": "050435",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "ZZZC3704Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallbrook Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fallbrook, CA

Sources for this page

Verify at the official NPI Registry.