Healthcare Provider Details

I. General information

NPI: 1154472058
Provider Name (Legal Business Name): WASHINGTON TOWNSHIP HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 01/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MOWRY AVE
FREMONT CA
94538-1716
US

IV. Provider business mailing address

2000 MOWRY AVE
FREMONT CA
94538-1716
US

V. Phone/Fax

Practice location:
  • Phone: 510-797-1111
  • Fax: 510-795-2094
Mailing address:
  • Phone: 510-797-1111
  • Fax: 510-795-2094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number140000116
License Number StateCA

VIII. Authorized Official

Name: MRS. NANCY FARBER
Title or Position: PRESIDENT
Credential:
Phone: 510-745-6500