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Organization
COLUSA MEDICAL CENTER LLC
Active
Organization
COLUSA MEDICAL CENTER LLC
Active
Other names
Colusa Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY THOMPSON (VP FINANCE/CFO)
(209) 287-6308
Entity
Organization
Contact information
Practice address
199 E WEBSTER ST, COLUSA, CA 95932-2954
(530) 458-1808
Mailing address
700 17TH ST STE 201D, MODESTO, CA 95354-1249
(530) 458-1808
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
—
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NR1301X
Rural Acute Care Hospital
Primary
—
—
Other
Enumeration date
02/11/2017
Last updated
01/25/2022
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