Healthcare Provider Details
I. General information
NPI: 1366655441
Provider Name (Legal Business Name): MAYERS MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2007
Last Update Date: 10/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
43563 STATE HIGHWAY 299 EAST
FALL RIVER MILLS CA
96028
US
IV. Provider business mailing address
PO BOX 459
FALL RIVER MILLS CA
96028
US
V. Phone/Fax
- Phone: 530-336-5511
- Fax:
- Phone: 530-336-5511
- Fax: 530-336-6199
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MATT
REES
Title or Position: CEO
Credential:
Phone: 530-336-5511