# COALINGA MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coalinga Regional Medical Center, Coalinga Regional Medical Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801452941
- **Authorized official:** TAMMY JEAN THOMPSON (EXECUTIVE VP/CFO)
- **Authorized official phone:** (209) 287-6308

## Contact information

- **Practice address:** 1191 PHELPS AVE, COALINGA, CA 93210-9609
- **Practice address phone:** (559) 935-6400
- **Mailing address:** 700 17TH ST STE 205, MODESTO, CA 95354-1249
- **Mailing address phone:** (209) 287-6308
- **Mailing address fax:** (209) 248-7825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |
| 282NC0060X | Critical Access Hospital | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 05/14/2019
- **Last updated:** 01/24/2022