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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
1282N00000XGeneral Acute Care Hospital080000426CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2050435OTHERAARP
3ZZZC3704ZOTHERBCBS

General Provider Information

NPI Number : 1447222674
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 : 760-728-0683
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : STEPHEN J ABBOTT
Credential :
Telephone Number : 760-731-9187
Provider Enumeration Date : 02/02/2006
Last Update Date : 05/02/2014

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1689646820 — FALLBROOK HOSPITAL DISTRICT
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FALLBROOK, CA
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1467417030 — PRIMARY CRITICAL CARE LIMITED PARTNERSHIP
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1639134877 — DR. BRUCE T GIPE MD
Practice Location Address:
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Directions to “FALLBROOK HOSPITAL DISTRICT ” Practice Location

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