# LOS BANOS COMMUNITY HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEMORIAL HOSPITAL LOS BANOS
- **Other names:** MEMORIAL HOSPITAL LOS BANOS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053427302
- **Legal business name:** MEMORIAL HOSPITAL LOS BANOS
- **Authorized official:** MR. STAN BRYDA (DIRECTOR, CENTRAL BUSINESS OFFICE)
- **Authorized official phone:** (209) 572-7172

## Contact information

- **Practice address:** 520 I ST, LOS BANOS, CA 93635-4211
- **Practice address phone:** (209) 826-0591
- **Mailing address:** PO BOX 1870, MODESTO, CA 95353-1870
- **Mailing address phone:** (209) 569-7734
- **Mailing address fax:** (209) 569-7772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 040000177 | CA | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 06/11/2008