Organization
LOS BANOS COMMUNITY HOSPITAL
Active
Parent organization
MEMORIAL HOSPITAL LOS BANOS
Other names
MEMORIAL HOSPITAL LOS BANOS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL LOS BANOS
Authorized official
MR. STAN BRYDA (DIRECTOR, CENTRAL BUSINESS OFFICE)
(209) 572-7172
Entity
Organization
Contact information
Practice address
520 I ST, LOS BANOS, CA 93635-4211
(209) 826-0591
Mailing address
PO BOX 1870, MODESTO, CA 95353-1870
(209) 569-7734
(209) 569-7772
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
040000177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM13998F
—
CA
Enumeration date
08/21/2006
Last updated
06/11/2008
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