NPIMap

Organization Active NPI

Central Valley General Hospital

  • General Acute Care Hospital
  • Hanford, CA
National Provider Identifier
1891777983
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
040000140 Issued in CA
Legal business name
CENTRAL VALLEY GENERAL HOSPITAL
Practice address
1025 N Douty St
Hanford, CA 93230-3722
Phone
(559) 587-4348
Fax
(559) 585-7243
NPI assigned
Nov 15, 2005
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
David Larsen
Title
Cfo/Vice President
Phone
(559) 537-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 040000140 CA Primary

Addresses

Primary practice location

1025 N Douty St
Hanford, CA 93230-3722

Mailing address

PO Box 480
Hanford, CA 93232-0480
Phone (559) 537-2106

Other identifiers 1

IdentifierTypeStateIssuer
ZZT30196GMedicaidCA

Medicare participation

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891777983. Details of each certification follow.

Hospital certification: CCN 050196

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
ADVENTIST MEDICAL CENTER - CENTRAL VALLEY
Certification status
Terminated Voluntary: merger or closure, Nov 30, 2015
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 13, 1984
Beds
49
Ownership / control type
Church
Most recent change of ownership
Feb 1, 1993 (1 total)
Facility address
1025 N Douty St
Hanford, CA 93230

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1891777983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932320480",
            "telephone_number": "559-537-2106",
            "fax_number": "559-585-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303722",
            "telephone_number": "559-587-4348",
            "fax_number": "559-585-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO/VICE PRESIDENT",
        "authorized_official_telephone_number": "559-537-0050"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "040000140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30196G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.