Healthcare Provider Details

I. General information

NPI: 1952780645
Provider Name (Legal Business Name): CONTINUECARE HOSPITAL AT BAKERSFIELD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2015
Last Update Date: 10/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 TRUXTUN AVE LTACH-3RD FLOOR, MERCY HOSPITALS OF BAKERSFIELD
BAKERSFIELD CA
93301-3602
US

IV. Provider business mailing address

7800 DALLAS PKWY SUITE 200
PLANO TX
75024-4076
US

V. Phone/Fax

Practice location:
  • Phone: 972-943-6435
  • Fax: 972-943-6401
Mailing address:
  • Phone: 972-943-6430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateCA

VIII. Authorized Official

Name: LESLIE BONEY
Title or Position: SVP, POST ACUTE CARE SERVICES
Credential:
Phone: 972-943-6435