Organization Name: | MADERA COMMUNITY HOSPITAL |
NPI Number: | 1720286750 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK JAMES FOOTE (VP-FINANCE/CFO) |
Mailing Address: | 285 Hospital Dr Chowchilla |
State: | CA US |
Postal Code: | 936102041 |
Phone Number: | 5596755500 |
Fax Number: | 5596755509 |
NPI Enumeration Date: | 07/11/2007 |
NPI Last Update Date: | 07/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 04000191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |