MEDICARE: LOS BANOS COMMUNITY HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center	040000177	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053427302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOS BANOS COMMUNITY HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 1870
Second Line	:
City	:	MODESTO
State	:	CA
Zip	:	95353-1870
Country	:	US
Telephone Number	:	209-569-7734
Fax Number	:	209-569-7772

Provider Business Practice Location Address
First Line	:	520 I ST
Second Line	:
City	:	LOS BANOS
State	:	CA
Zip	:	93635-4211
Country	:	US
Telephone Number	:	209-826-0591
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, CENTRAL BUSINESS OFFICE
Name	:	MR. STAN BRYDA
Credential	:
Telephone Number	:	209-572-7172

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	06/11/2008

Similar Medicare Providers

1154302271 — MEMORAIL HOSPITAL OF LOS BANOS
Practice Location Address:

520 I STREET
LOS BANOS, CA
93635-4211

Practice Phone: 209-826-0591
Practice Fax:

1699729996 — PHILLIP SILVERSTEIN MD
Practice Location Address:

520 I ST
LOS BANOS, CA
93635-4211

Practice Phone: 209-826-0591
Practice Fax:

1457213167 — NYLEAH MARITZA SALGADO I
Practice Location Address:

1517 S NEVADA AVE
LOS BANOS, CA
93635-4638

Practice Phone: 209-519-1043
Practice Fax:

1689679045 — DR. DANIEL E HARDY M.D.
Practice Location Address:

801 W L ST
LOS BANOS, CA
93635-3953

Practice Phone: 209-827-3303
Practice Fax: 209-827-3743

1588669832 — DR. CHRISTOPHER P. COSTA M.D.
Practice Location Address:

821 TEXAS AVE
LOS BANOS, CA
93635

Practice Phone: 209-826-1045
Practice Fax: 209-826-0952

1982609590 — DR. TRAJAN JOAQUIN SOARES O.D.
Practice Location Address:

1028 6TH ST
LOS BANOS, CA
93635-4218

Practice Phone: 209-826-1434
Practice Fax: 209-826-8375

Directions to “LOS BANOS COMMUNITY HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.