Organization
MADERA COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK FOOTE (CHIEF FINANCIAL OFFICER)
(559) 675-5505
Entity
Organization
Contact information
Practice address
1250 E ALMOND AVE, MADERA, CA 93637-5606
(559) 675-5555
(559) 675-5574
Mailing address
1250 E ALMOND AVE, MADERA, CA 93637-5606
(559) 675-5555
(559) 675-5574
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP13990F
—
CA
Enumeration date
12/14/2007
Last updated
12/14/2007
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