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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
1314000000XSkilled Nursing Facility080000005CA

General Provider Information

NPI Number : 1689646820
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 : DIRECTOR, BUSINESS OFFICE SUPPORT
Name : LAURIE HOLTSFORD
Credential :
Telephone Number : 615-465-7466
Provider Enumeration Date : 02/02/2006
Last Update Date : 05/27/2008

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Directions to “FALLBROOK HOSPITAL DISTRICT ” Practice Location

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