| |
501 E. Locust Street Lone Pine CA 93545 | |
(760) 876-5501 | |
(760) 876-4388 |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 501 E. Locust Street, Lone Pine, California |
Authorized Official Name and Position | Peter Spiers (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7608765501 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1009 Lone Pine CA 93545-1009 Ph: (760) 876-5501 | 501 E. Locust Street Lone Pine CA 93545 Ph: (760) 876-5501 |
NPI Number | 1831128602 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 01/13/2021 |
Medicare PECOS PAC ID | 7911816731 |
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Medicare Enrollment ID | O20030422000075 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831128602 | NPI | - | NPPES |
ZZT30388F | Medicaid | CA | |
LTC55527F | Medicaid | CA | |
MTN01039F | Medicaid | CA | |
RHM18511F | Medicaid | CA | |
ZZT40388F | Medicaid | CA |