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Organization
VETERANS HOME OF CALIFORNIA
Active
Organization
VETERANS HOME OF CALIFORNIA
Active
Other names
N.M. Holderman Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD L. VEVERKA (ADMINISTRATOR)
(707) 944-4501
Entity
Organization
Contact information
Practice address
100 CALIFORNIA DR, YOUNTVILLE, CA 94599-1411
(707) 944-4622
(707) 948-3319
Mailing address
PO BOX 942895, SACRAMENTO, CA 94295-0001
(916) 653-0080
(916) 653-1795
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15000494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
524627
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
12/04/2008
Last updated
09/14/2015
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