# COLUSA MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Progressive Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558800243
- **Authorized official:** TAMMY JEAN THOMPSON (VP FINANCE)
- **Authorized official phone:** (209) 248-7851

## 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 |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 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