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Organization
COLUSA MEDICAL CENTER LLC
Active
Organization
COLUSA MEDICAL CENTER LLC
Active
Other names
Progressive Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY JEAN THOMPSON (VP FINANCE)
(209) 248-7851
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
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
315D00000X
Inpatient Hospice
—
NULL
Other
Enumeration date
02/15/2017
Last updated
01/28/2020
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