MEDICARE: HAYWARD SISTERS 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
1	314000000X	Skilled Nursing Facility	140000107	CA
2	282N00000X	General Acute Care Hospital	140000107	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	ZZZ92818Z	OTHER	CA	PTAN NUMBER FOR MEDICARE 1500 CLAIM FORM BILLING

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942298153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAYWARD SISTERS HOSPITAL

Provider Business Mailing Address
First Line	:	27200 CALAROGA AVENUE
Second Line	:
City	:	HAYWARD
State	:	CA
Zip	:	94545-4383
Country	:	US
Telephone Number	:	510-264-4002
Fax Number	:	510-887-7421

Provider Business Practice Location Address
First Line	:	27200 CALAROGA AVENUE
Second Line	:
City	:	HAYWARD
State	:	CA
Zip	:	94545-4339
Country	:	US
Telephone Number	:	510-264-4002
Fax Number	:	510-887-7421

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MR. LEX REDDY
Credential	:
Telephone Number	:	510-264-4002

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	04/14/2015

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Directions to “HAYWARD SISTERS HOSPITAL ” Practice Location

Language	Start Address	Practice Location

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