MEDICARE: SENECA HEALTHCARE DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	230000032	CA
2	282NC0060X	Critical Access Hospital	230000032	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	555022	OTHER	CA	SNF

General Provider Information

NPI Number	:	1396848677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENECA HEALTHCARE DISTRICT

Provider Business Mailing Address
First Line	:	P.O. BOX 737
Second Line	:
City	:	CHESTER
State	:	CA
Zip	:	96020
Country	:	US
Telephone Number	:	530-258-2151
Fax Number	:	530-258-3471

Provider Business Practice Location Address
First Line	:	130 BRENTWOOD DRIVE
Second Line	:
City	:	CHESTER
State	:	CA
Zip	:	96020
Country	:	US
Telephone Number	:	530-258-2151
Fax Number	:	530-258-3471

Authorized Official
Title or Position	:	CEO
Name	:	LINDA WAGNER
Credential	:
Telephone Number	:	530-258-2067

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	05/27/2014

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Directions to “SENECA HEALTHCARE DISTRICT ” Practice Location

Language	Start Address	Practice Location

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