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NPI Code Detail

MEDICARE: WEST CONTRA COSTA HEALTHCARE DISTRICT

MEDICARE: WEST CONTRA COSTA HEALTHCARE 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 Hospital110000485CA

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

General Provider Information

NPI Number : 1891733788
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST CONTRA COSTA HEALTHCARE DISTRICT
Provider Business Mailing Address
First Line : 2000 VALE RD
Second Line :
City : SAN PABLO
State : CA
Zip : 94806-3808
Country : US
Telephone Number : 510-970-5000
Fax Number : 510-970-5728
Provider Business Practice Location Address
First Line : 2000 VALE RD
Second Line :
City : SAN PABLO
State : CA
Zip : 94806-3808
Country : US
Telephone Number : 510-970-5000
Fax Number : 510-970-5728
Authorized Official
Title or Position : CFO
Name : JAMES BOATMAN
Credential :
Telephone Number : 510-970-5107
Provider Enumeration Date : 06/03/2006
Last Update Date : 07/05/2012

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Directions to “WEST CONTRA COSTA HEALTHCARE DISTRICT ” Practice Location

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