# ANTELOPE VALLEY HOSPITAL INC

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

## Provider details

- **NPI number:** 1649753575
- **Authorized official:** MR. MICHAEL L WALL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (661) 949-5533

## Contact information

- **Practice address:** 1600 W AVENUE J, LANCASTER, CA 93534-2814
- **Practice address phone:** (661) 949-5000
- **Mailing address:** 1600 W AVENUE J, LANCASTER, CA 93534-2814
- **Mailing address phone:** (661) 949-5000

## Taxonomy

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

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 09/06/2018