National Provider Identifier Database

SURPRISE VALLEY HEALTH CARE DISTRICT
Rural Health


Contact Information

SURPRISE VALLEY HEALTH CARE DISTRICT
745 MAIN STREET
CEDARVILLE, CA96104
Phone: 530-279-6111
Fax: 530-279-2680
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for SURPRISE VALLEY HEALTH CARE DISTRICT

NPI Number 1073693651
Legal business name
LBN
SURPRISE VALLEY HEALTH CARE DISTRICT
Authorized official WANDA GROVE - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 10/17/2006
Last updated 09/11/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 230000025
  • CA Medicaid: BCP13983F
  • CA Medicaid: HAP13983F
  • CA Medicaid: RHM13983F

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SURPRISE VALLEY HEALTH CARE DISTRICT

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