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Organization
LAST FRONTIER HEALTHCARE DISTRICT
Active
Organization
LAST FRONTIER HEALTHCARE DISTRICT
Active
Other names
Modoc Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
WALT BECK CPA (CEO)
(530) 233-5883
Entity
Organization
Contact information
Practice address
225 W MCDOWELL AVE, ALTURAS, CA 96101-3933
(530) 233-3416
(530) 233-6609
Mailing address
228 W MCDOWELL AVE, ALTURAS, CA 96101-3934
(530) 233-5131
(530) 233-6609
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
CA
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55420F
—
CA
Enumeration date
09/21/2006
Last updated
07/21/2022
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