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NPI Code Detail

MEDICARE: FALLBROOK HOSPITAL DISTRICT

MEDICARE: FALLBROOK HOSPITAL DISTRICT
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
1251E00000XHome Health Agency080000426CA

Other Identifiers

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

General Provider Information

NPI Number : 1205822988
Entity Type Code : Organization
Provider Name (Legal Business Name) : FALLBROOK HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 624 E ELDER ST
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-3004
Country : US
Telephone Number : 760-728-1191
Fax Number : 760-728-1875
Provider Business Practice Location Address
First Line : 624 E ELDER ST
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-3004
Country : US
Telephone Number : 760-728-1191
Fax Number : 760-728-1875
Authorized Official
Title or Position : DIRECTOR
Name : PAT SMORZEWSKI
Credential :
Telephone Number : 760-728-1191
Provider Enumeration Date : 09/27/2005
Last Update Date : 11/25/2008

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Directions to “FALLBROOK HOSPITAL DISTRICT ” Practice Location

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