Organization Name: | CHOWCHILLA MEMORIAL HEALTHCARE DISTRICT |
NPI Number: | 1225367840 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHY J FLORES (CEO) |
Mailing Address: | 1200 Ventura Ave Chowchilla |
State: | CA US |
Postal Code: | 936102246 |
Phone Number: | 5596653781 |
Fax Number: | 5596657195 |
NPI Enumeration Date: | 12/10/2009 |
NPI Last Update Date: | 01/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | 550000252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |