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NPI 1720459514

NPI 1720459514 : REEDLEY COMMUNITY HOSPITAL : MADERA, CA

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General NPI Number Information
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    NPI Number           |    1720459514
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    Entity Type          |    Organization 
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    Legal Business Name  |    REEDLEY COMMUNITY HOSPITAL 
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Dates
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    Enumeration Date     |    10/19/2015
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    Last Update Date     |    04/08/2022
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Provider Practice Location Address
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    Address Line         |    11976 ROAD 37 
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    City                 |    MADERA
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    State                |    CA
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    Zip                  |    93636-8612
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    Country              |    US
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    Telephone            |    559-645-4191
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    Fax                  |    559-645-4540
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Provider Business Mailing Address
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    Address Line         |    PO BOX 888806 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90088-8806
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    Country              |    US
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    Telephone            |    559-645-4191
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    Fax                  |    559-645-4540
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Authorized Official
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    Title or Position    |    CENTRAL VALLEY NETWORK PRESIDENT
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    Name                 |     ANDREA  KOFL 
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    Credential           |    
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    Telephone            |    559-537-0056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    
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    License Number State |    
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