NPIMap

Organization Active NPI

Mayers Memorial Hospital District

  • Community Based Hospice Care Agency
  • Fall River Mills, CA
National Provider Identifier
1962658369
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
230000021 Issued in CA
Legal business name
MAYERS MEMORIAL HOSPITAL DISTRICT
Practice address
43563 State Highway 299 E
Fall River Mills, CA 96028-9787
Phone
(530) 336-5511
Fax
(530) 336-6996
NPI assigned
Aug 18, 2008
Last updated
May 23, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MAYERS MEMORIAL HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Authorized official

Name
Mr. Matt Ann Rees
Title
Ceo
Phone
(530) 336-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 230000021 CA Primary

Addresses

Primary practice location

43563 State Highway 299 E
Fall River Mills, CA 96028-9787

Mailing address

PO Box 459
Fall River Mills, CA 96028
Phone (530) 336-5511

Other identifiers 1

IdentifierTypeStateIssuer
HPC01738FOtherCAMEDI-CAL HOSPICE

Other names 1

  • Intermountain Hospice Other name

National Provider Directory

National Provider Directory
Tax ID family
Mayers Memorial Hospita7 organizations share this tax ID, including this one
Part of
Mayers Memorial Hospita

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1962658369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "FALL RIVER MILLS",
            "state": "CA",
            "postal_code": "96028",
            "telephone_number": "530-336-5511",
            "fax_number": "530-336-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43563 STATE HIGHWAY 299 E",
            "city": "FALL RIVER MILLS",
            "state": "CA",
            "postal_code": "960289787",
            "telephone_number": "530-336-5511",
            "fax_number": "530-336-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYERS MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAYERS MEMORIAL HOSPITAL DISTRICT",
        "enumeration_date": "2008-08-18",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "REES",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-336-5511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "230000021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL   HOSPICE",
            "identifier": "HPC01738F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fall River Mills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.