| Dos Palos Memorial Hospital, Inc | |
|
2118 Marguerite St Dos Palos CA 93620-2339 | |
| (209) 392-6121 | |
| (209) 392-6881 |
| Full Name | Dos Palos Memorial Hospital, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 2118 Marguerite St, Dos Palos, California |
| Authorized Official Name and Position | Ray E Smith (ADMINISTRATOR) |
| Authorized Official Contact | 2093926121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dos Palos Memorial Hospital, Inc 2118 Marguerite St Dos Palos CA 93620-2339 Ph: (209) 392-6121 | Dos Palos Memorial Hospital, Inc 2118 Marguerite St Dos Palos CA 93620-2339 Ph: (209) 392-6121 |
| NPI Number | 1295737401 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295737401 | NPI | - | NPPES |
| LTC55311I | Medicaid | CA | |
| RHM18598F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 261QR1300X (California) | Primary |
| 314000000X | Skilled Nursing Facility | 314000000X (California) | Secondary |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 209-392-2111 Fax: 209-384-3966 | |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 209-392-2111 Fax: 209-392-2850 | |
Golden Valley Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 209-392-2111 Fax: 209-384-3966 | |
Dos Palos Apex Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1549 Golden Gate St., Dos Palos, CA 93620 Phone: 209-392-0022 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 209-392-2111 Fax: 209-384-3966 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 209-392-2111 Fax: 209-384-3699 |