Healthcare Provider Details

I. General information

NPI: 1386763456
Provider Name (Legal Business Name): MAYERS MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 05/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43563 HIGHWAY 299 EAST
FALL RIVER MILLS CA
96028-0459
US

IV. Provider business mailing address

PO BOX 459
FALL RIVER MILLS CA
96028
US

V. Phone/Fax

Practice location:
  • Phone: 530-336-5511
  • Fax: 530-336-6199
Mailing address:
  • Phone: 530-366-5511
  • Fax: 530-366-6199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MATT REES
Title or Position: CEO
Credential:
Phone: 530-336-5511