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NPI Code Detail

MEDICARE: BAKERSFIELD MEMORIAL HOSPITAL

MEDICARE: BAKERSFIELD MEMORIAL 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
1261QP2300XPrimary Care Clinic/Center23810CA
2282N00000XGeneral Acute Care Hospital650527CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11578900148OTHERCANATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM

General Provider Information

NPI Number : 1578900148
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAKERSFIELD MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 10314 STERLING SILVER ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93311-9524
Country : US
Telephone Number : 661-303-7201
Fax Number :
Provider Business Practice Location Address
First Line : 5401 WHITE LN
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-6279
Country : US
Telephone Number : 661-396-7100
Fax Number : 661-396-7101
Authorized Official
Title or Position : FNP
Name : MONCY RACHEL JOHN
Credential : FNP
Telephone Number : 661-396-7100
Provider Enumeration Date : 05/23/2013
Last Update Date : 11/28/2013

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Directions to “BAKERSFIELD MEMORIAL HOSPITAL ” Practice Location

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