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Organization
TRI CITY HOSPITAL DISTRICT
Active
Organization
TRI CITY HOSPITAL DISTRICT
Active
Other names
Tri City Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA STEWART (ADMINISTRATOR)
(760) 940-5800
Entity
Organization
Contact information
Practice address
2095 W VISTA WAY, SUITE 220, VISTA, CA 92083-6029
(760) 940-5801
(760) 940-5880
Mailing address
2095 W VISTA WAY, SUITE 220, VISTA, CA 92083-6029
(760) 940-5801
(760) 940-5880
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HPC01727F
MEDICAID PROVIDER NUMBER
CA
Enumeration date
08/26/2005
Last updated
06/28/2022
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