Organization
SENECA HEALTHCARE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WAGNER (CEO)
(530) 258-2067
Entity
Organization
Contact information
Practice address
130 BRENTWOOD DRIVE, CHESTER, CA 96020
(530) 258-2151
(530) 258-3471
Mailing address
P.O. BOX 737, CHESTER, CA 96020
(530) 258-2151
(530) 258-3471
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
230000032
CA
282NR1301X
Rural Acute Care Hospital
230000032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C40812
RR MEDICARE PART B PHY GR
CA
05
—
GR0093570
—
CA
01
—
ZZZQ3201Z
MEDICARE PART B PHY GRP
CA
Enumeration date
10/09/2007
Last updated
05/21/2014
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