Organization
CENTRAL VALLEY SPECIALTY HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY JEAN THOMPSON (VP FINANCE)
(209) 248-7851
Entity
Organization
Contact information
Practice address
730 17TH ST, MODESTO, CA 95354-1209
(209) 576-2532
(209) 576-2598
Mailing address
1320 STANDIFORD AVE, SUITE 4 PMB 214, MODESTO, CA 95350-0726
(209) 576-2532
(209) 576-2598
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
01/25/2022
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