Healthcare Provider Details

I. General information

NPI: 1700972676
Provider Name (Legal Business Name): FEATHER RIVER HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 10/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5734 CANYON VIEW DR
PARADISE CA
95969
US

IV. Provider business mailing address

PO BOX 677000
PARADISE CA
95967-7000
US

V. Phone/Fax

Practice location:
  • Phone: 530-876-7121
  • Fax: 530-876-7952
Mailing address:
  • Phone: 530-876-7121
  • Fax: 530-876-7952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number230000017
License Number StateCA

VIII. Authorized Official

Name: RYAN ASHLOCK
Title or Position: CFO
Credential:
Phone: 530-877-9361