Gold Country Health Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030000229 Issued in CA

Legal business name

GOLD COUNTRY HEALTH CENTER

Doing business as

Gold Country Health Center

Practice address

4301 Golden Center Dr
Placerville, CA 95667-6260

Phone

(530) 621-1100

Fax

(530) 621-1104

NPI assigned

Jun 14, 2005

Last updated

Oct 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stuart Hartman

Title

V.P. of Operations

Phone

(562) 257-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GOLD COUNTRY HEALTH CENTER Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eileen W. Proctor, PH.D.

  • Clinical Psychologist
  • Greenwood, CA
  • NPI 1720277536
  NPD (past)
• Thomas William Wolff, DPM

  • Podiatrist
  • Placerville, CA
  • NPI 1255491791
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1588669865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GOLDEN CENTER DR",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676260",
            "telephone_number": "530-621-1100",
            "fax_number": "530-621-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GOLDEN CENTER DR",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676260",
            "telephone_number": "530-621-1100",
            "fax_number": "530-621-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COUNTRY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "V.P. OF OPERATIONS",
        "authorized_official_telephone_number": "562-257-5100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "030000229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55180F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLD COUNTRY  HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Gilles, M.D.
• Sheila Swan Gillgrass, RN ASN
• Mary Louise Giska, NP
• Gladiolus Holdings, LLC (The Pines at Placerville Healthcare Ctr)
• Joanne C. Goard, MA RDN
• Gold Oak Union School District
• Gold Trail Union School District
• Phyllis Jean Goldie, RN, PHN
• Victoria Irene Golmitz, SP
• Sasha Gomez

• Skilled Nursing Facility in Placerville, CA
• Providers in Placerville, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.