HCM Quincy Convalescent Hosp Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HCM QUINCY CONVALESCENT HOSP INC

Practice address

50 Central Avenue
Quincy, CA 95971-9718

Phone

(530) 283-2110

Fax

(530) 283-2110

NPI assigned

Sep 11, 2006

Reactivated

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Hollee A Nyberg

Title

Corporate Accounting Manager

Phone

(559) 707-8737

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Plumas Sierra Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1992809156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CENTRAL AVENUE",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719718",
            "telephone_number": "530-283-2110",
            "fax_number": "530-283-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CENTRAL AVENUE",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719718",
            "telephone_number": "530-283-2110",
            "fax_number": "530-283-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCM QUINCY CONVALESCENT HOSP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-08-16",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "NYBERG",
        "authorized_official_first_name": "HOLLEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CORPORATE ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "559-707-8737"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06265J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plumas Sierra Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Delvin Hamner Jr., CADC I
• Jill A Hanna, MD
• Dale Vernon Harris, DDS
• Shannon M Harston, MFC
• Sarah Hasse
• Aimee Owens Heaney
• Tyrus Herbertson
• Michael W Herndon, DDS
• Natasha Holland
• James Frederick Hood, CRNA

• Skilled Nursing Facility in Quincy, CA
• Providers in Quincy, 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 Aug 16, 2007; 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.