Organization
SURPRISE VALLEY HEALTH CARE DISTRICT
Active
Other names
surprise valley community hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CORNWELL (ADMINISTRATOR)
(530) 279-6111
Entity
Organization
Contact information
Practice address
741 NORTH MAIN ST, CEDARVILLE, CA 96104-0246
(530) 279-6111
(530) 279-2680
Mailing address
PO BOX 246, CEDARVILLE, CA 96104-0246
(530) 279-6111
(530) 279-2680
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
230000025
CA
311Z00000X
Custodial Care Facility
230000025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC30676F
—
CA
Enumeration date
10/31/2006
Last updated
02/07/2017
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