# COLUSA MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colusa Medical Center, SNF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215476734
- **Authorized official:** TAMMY THOMPSON (VP FINANCE/CFO)
- **Authorized official phone:** (209) 287-6308

## Contact information

- **Practice address:** 199 E WEBSTER ST, COLUSA, CA 95932-2954
- **Practice address phone:** (530) 458-1808
- **Mailing address:** 700 17TH ST STE 201D, MODESTO, CA 95354-1249
- **Mailing address phone:** (530) 458-1808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2017
- **Last updated:** 01/25/2022