Healthcare Provider Details
I. General information
NPI: 1992135339
Provider Name (Legal Business Name): OROVILLE HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/21/2013
Last Update Date: 12/15/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
155 SOLANO ST
CORNING CA
96021-3511
US
IV. Provider business mailing address
2767 OLIVE HWY
OROVILLE CA
95966-6118
US
V. Phone/Fax
- Phone: 530-824-4663
- Fax: 530-824-5204
- Phone: 530-533-8500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | 230000022 |
| License Number State | CA |
VIII. Authorized Official
Name:
COLLEEN
SUE
DUNCAN
Title or Position: CFO
Credential:
Phone: 530-532-8509