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NPI Code Detail

MEDICARE: BEVERLY COMMUNITY HOSPITAL ASSOCIATION

MEDICARE: BEVERLY COMMUNITY HOSPITAL ASSOCIATION
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
1282N00000XGeneral Acute Care Hospital93 0000 389CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184628919
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEVERLY COMMUNITY HOSPITAL ASSOCIATION
Provider Business Mailing Address
First Line : 309 W BEVERLY BLVD
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-4308
Country : US
Telephone Number : 323-726-1222
Fax Number : 323-837-3473
Provider Business Practice Location Address
First Line : 309 W BEVERLY BLVD
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-4308
Country : US
Telephone Number : 323-726-1222
Fax Number : 323-837-3473
Authorized Official
Title or Position : SR. DIRECTOR
Name : JAMES MATHEW
Credential :
Telephone Number : 323-726-1222
Provider Enumeration Date : 06/09/2005
Last Update Date : 09/18/2023

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Directions to “BEVERLY COMMUNITY HOSPITAL ASSOCIATION ” 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.

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