Healthcare Provider Details

I. General information

NPI: 1326146333
Provider Name (Legal Business Name): LAST FRONTIER HEALTHCARE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 W MCDOWELL AVE
ALTURAS CA
96101-3933
US

IV. Provider business mailing address

228 W MCDOWELL AVE
ALTURAS CA
96101-3934
US

V. Phone/Fax

Practice location:
  • Phone: 530-233-3416
  • Fax: 530-233-6609
Mailing address:
  • Phone: 530-233-5131
  • Fax: 530-233-6609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: WALT BECK
Title or Position: CEO
Credential: CPA
Phone: 530-233-5883