NPIMap

Organization Active NPI

Oak Valley Hospital District

Doing business as The Edge Occupational Medicine

  • Occupational Medicine Clinic/Center
  • Oakdale, CA
National Provider Identifier
1790396547
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
OAK VALLEY HOSPITAL DISTRICT
Doing business as
The Edge Occupational Medicine
Practice address
250 S Oak Ave Ste A4
Oakdale, CA 95361-3572
Phone
(209) 848-5310
Fax
(209) 848-7074
NPI assigned
Aug 14, 2020
Last updated
Dec 18, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
OAK VALLEY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Ann Croskrey
Title
Chief Financial Officer
Phone
(209) 848-4104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X NU Primary

Addresses

Primary practice location

250 S Oak Ave Ste A4
Oakdale, CA 95361-3572

Mailing address

350 S Oak Ave
Oakdale, CA 95361-3519
Phone (209) 848-7044

Other names 1

  • THE EDGE OCCUPATIONAL MEDICINE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oak Valley Port X Ray S9 organizations share this tax ID, including this one
Part of
Oak Valley Port X Ray S

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 S Oak Ave
Ste A4
Oakdale, CA 95361
Phone (209) 848-5310

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1790396547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S OAK AVE",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613519",
            "telephone_number": "209-848-7044",
            "fax_number": "209-848-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S OAK AVE STE A4",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613572",
            "telephone_number": "209-848-5310",
            "fax_number": "209-848-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK VALLEY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAK VALLEY HOSPITAL DISTRICT",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "CROSKREY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "209-848-4104"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE EDGE OCCUPATIONAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE EDGE OCCUPATIONAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.