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NPI Code Detail

MEDICARE: RIDEOUT MEMORIAL HOSPITAL

MEDICARE: RIDEOUT 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
1282N00000XGeneral Acute Care Hospital230000126CA

Other Identifiers

General Provider Information

NPI Number : 1720088354
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIDEOUT MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 726 4TH ST
Second Line :
City : MARYSVILLE
State : CA
Zip : 95901-5656
Country : US
Telephone Number : 530-749-4300
Fax Number :
Provider Business Practice Location Address
First Line : 726 4TH ST
Second Line :
City : MARYSVILLE
State : CA
Zip : 95901-5656
Country : US
Telephone Number : 530-749-4300
Fax Number : 530-749-4375
Authorized Official
Title or Position : PRESIDENT
Name : MR. CHRISTOPHER CHAMPLIN
Credential :
Telephone Number : 530-751-4049
Provider Enumeration Date : 07/26/2005
Last Update Date : 07/18/2025

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Directions to “RIDEOUT MEMORIAL HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.