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Contact Information

MCCLURE CONVALESCENT HOSPITAL AND REHABILITATION CENTER, INC.
2910 MCCLURE ST
OAKLAND, CA94609-3505
 Phone: 510-836-3677
 Fax: 510-836-1938
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MCCLURE CONVALESCENT HOSPITAL AND REHABILITATION CENTER, INC.

NPI # 1922090091
LBN Legal business name MCCLURE CONVALESCENT HOSPITAL AND REHABILITATION CENTER, INC.
Authorized official JAMES PREIMESBERGER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2005
Last updated 02/13/2014 - About 12 years ago
Identifiers
CA License # 020000064
CA Medicaid ZZR55067G
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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