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Contact Information

BLOSS MEMORIAL DISTRICT HOSPITAL CASTLE FAMILY HLTH CTR & ADULT DAYCAR
3605 HOSPITAL RD
ATWATER, CA95301-5173
 Phone: 209-381-2000
 Fax: 209-726-0278
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BLOSS MEMORIAL DISTRICT HOSPITAL CASTLE FAMILY HLTH CTR & ADULT DAYCAR

NPI Number 1932366614
LBN Legal business name BLOSS MEMORIAL DISTRICT HOSPITAL CASTLE FAMILY HLTH CTR & ADULT DAYCAR
Authorized official EDWARD LUJAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/20/2008
Last updated 05/20/2008 - About 18 years ago
Identifiers
CA License # A81776
CA License # C50290
CA License # G60458
CA Medicaid ADUR0420F
CA Medicaid RHM03997F
CA Medicaid RHM18515F
CA Medicaid RHM18537F
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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