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NPI Code Detail

MEDICARE: PARADISE VALLEY HOSPITAL

MEDICARE: PARADISE VALLEY 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
1282N00000XGeneral Acute Care Hospital0090000086CA

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 : 1598756710
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARADISE VALLEY HOSPITAL
Provider Business Mailing Address
First Line : 2400 E 4TH ST
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-2026
Country : US
Telephone Number : 619-470-4321
Fax Number :
Provider Business Practice Location Address
First Line : 2400 E 4TH ST
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-2026
Country : US
Telephone Number : 619-470-4321
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. GARY R FOLL
Credential :
Telephone Number : 619-470-4110
Provider Enumeration Date : 11/04/2005
Last Update Date : 08/22/2020

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Directions to “PARADISE VALLEY HOSPITAL ” Practice Location

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