Organization
JOHN C. FREMONT HEALTHCARE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN G MACPHEE (CHIEF EXECUTIVE OFFICER)
(209) 966-3631
Entity
Organization
Contact information
Practice address
5189 HOSPITAL RD, MARIPOSA, CA 95338-9524
(209) 966-3631
(209) 966-3776
Mailing address
PO BOX 216, MARIPOSA, CA 95338-0216
(209) 966-3631
(209) 966-3776
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
040000108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC-30443-F
—
CA
Enumeration date
04/11/2007
Last updated
01/07/2014
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