SURPRISE VALLEY HEALTH CARE DISTRICT; NPI #1073693651

Contact Information

SURPRISE VALLEY HEALTH CARE DISTRICT

745 MAIN STREET
CEDARVILLE, CA 96104

Phone: 530-279-6111
Fax: 530-279-2680
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for SURPRISE VALLEY HEALTH CARE DISTRICT

NPI # 1073693651

LBN Legal business name SURPRISE VALLEY HEALTH CARE DISTRICT

Authorized official WANDA GROVE - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/17/2006

Last updated 09/11/2013 - About 13 years ago

Identifiers

CA	License #	230000025
CA	Medicaid	BCP13983F
CA	Medicaid	HAP13983F
CA	Medicaid	RHM13983F

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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SURPRISE VALLEY HEALTH CARE DISTRICT

Contact Information

Specialty

Rural Health

NPI Profile & details for SURPRISE VALLEY HEALTH CARE DISTRICT

Reviews for SURPRISE VALLEY HEALTH CARE DISTRICT