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General NPI Number Information
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NPI Number | 1427520998
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Entity Type | Organization
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Legal Business Name | CENTRAL VALLEY SPECIALTY HOSPITAL INC
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Dates
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Enumeration Date | 12/21/2018
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 730 17TH ST
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City | MODESTO
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State | CA
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Zip | 95354-1209
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Country | US
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Telephone | 209-248-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 730 17TH ST
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City | MODESTO
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State | CA
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Zip | 95354-1209
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP FINANCE
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Name | TAMMY JEAN THOMPSON
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Credential |
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Telephone | 209-248-7851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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