# CENTRAL VALLEY SPECIALTY HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578989703
- **Authorized official:** MRS. TAMMY JEAN THOMPSON (CFO/VP FINANCE)
- **Authorized official phone:** (209) 248-7851

## Contact information

- **Practice address:** 730 17TH ST, MODESTO, CA 95354-1209
- **Practice address phone:** (209) 248-7710
- **Practice address fax:** (209) 846-0345
- **Mailing address:** 730 17TH ST, MODESTO, CA 95354-1209
- **Mailing address phone:** (209) 248-7710
- **Mailing address fax:** (209) 846-0345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | — | NULL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2014
- **Last updated:** 01/25/2022