Organization
PRINCIPAL-NEEDLES INC
Active
Other names
Colorado River Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M. DILL (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
1401 BAILEY AVE, NEEDLES, CA 92363-3103
(760) 326-4531
(760) 326-4532
Mailing address
103 POWELL CT, BRENTWOOD, TN 37027-5079
(615) 372-8500
(615) 372-8572
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
240000227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401696
—
AZ
05
—
HSP30469K
—
CA
05
—
HSP40469K
—
CA
Enumeration date
10/04/2006
Last updated
10/15/2013
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