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Organization
MCCLURE CONVALESCENT HOSPITAL AND REHABILITATION CENTER, INC.
Active
Organization
MCCLURE CONVALESCENT HOSPITAL AND REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PREIMESBERGER (PRESIDENT)
(925) 855-0881
Entity
Organization
Contact information
Practice address
2910 MCCLURE ST, OAKLAND, CA 94609-3505
(510) 836-3677
(510) 836-1938
Mailing address
5000 EXECUTIVE PKWY, SUITE 150, SAN RAMON, CA 94583-4210
(925) 855-0881
(925) 855-9297
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020000064
CA
332B00000X
Durable Medical Equipment & Medical Supplies
020000064
CA
332BN1400X
Nursing Facility Supplies (DME)
020000064
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
020000064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR55067G
—
CA
Enumeration date
08/16/2005
Last updated
02/13/2014
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