| St. Mary Medical Center | |
|
1050 Linden Ave Long Beach CA 90813-3321 | |
| (562) 491-9929 | |
| (562) 491-9085 |
| Full Name | St. Mary Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1050 Linden Ave, Long Beach, California |
| Authorized Official Name and Position | Harold Way (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5624919929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary Medical Center 3215 Prospect Park Dr Rancho Cordova CA 95670-6017 Ph: (916) 861-1102 | St. Mary Medical Center 1050 Linden Ave Long Beach CA 90813-3321 Ph: (562) 491-9929 |
| NPI Number | 1194840421 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 04/26/2016 |
| Medicare PECOS PAC ID | 2062320559 |
|---|---|
| Medicare Enrollment ID | O20120621000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194840421 | NPI | - | NPPES |
| 870692255 | Other | CA | IRS |
| LTC70135G | Medicaid | CA | |
| ZZT30191H | Medicaid | CA | |
| 0022013 | Other | CA | AETNA |
| HSC30191H | Medicaid | CA | |
| ZZZA0191Z | Other | CA | BLUE SHIELD |
| 050191B000000 | Other | CA | CMS SECTION 1011 |
| HSM30191H | Medicaid | CA | |
| STMM | Other | CA | UNIVERSAL |
| 870692255908130000 | Other | CA | WPS TRICARE |
| ZZT40191H | Medicaid | CA |
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