Organization Name: | SAN BRUNO SKILLED NURSING HOSPITAL, INC. |
NPI Number: | 1346232469 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES PREIMESBERGER (PRESIDENT) |
Mailing Address: | 890 El Camino Real San Bruno |
State: | CA US |
Postal Code: | 940663137 |
Phone Number: | 6505837768 |
Fax Number: | 6505839710 |
NPI Enumeration Date: | 08/16/2005 |
NPI Last Update Date: | 02/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 220000042 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |