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Contact Information

COUNTRY HILLS HEALTH CARE INCORPORATED
1580 BROADWAY
EL CAJON, CA92021-5124
 Phone: 619-441-8745
 Fax: 619-334-3248
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for COUNTRY HILLS HEALTH CARE INCORPORATED

NPI # 1700973963
LBN Legal business name COUNTRY HILLS HEALTH CARE INCORPORATED
Authorized official CAROL PATTEN - (ACCOUNTS RECEIVABLE SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/09/2006
Last updated 12/20/2013 - About 12 years ago
Identifiers
CA License # 08000361
CA Medicaid LTC55431G
CA Other CMCSUB0TC MEDICAL INTERNET USER ID
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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