Organization Name: | SURPRISE VALLEY HEALTH CARE DISTRICT |
NPI Number: | 1801973052 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WANDA L. GROVE (ADMINISTRATOR) |
Mailing Address: | 741 Main & Washington Cedarville |
State: | CA US |
Postal Code: | 961040246 |
Phone Number: | 5302796111 |
Fax Number: | 5302792680 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 09/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0002X |
License Number: | 230000025 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Emergency Care |
Taxonomy Definition: |