Organization
MEMORAIL HOSPITAL OF LOS BANOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN TRENT HUNTER (VP SHARED SERVICES)
(916) 297-8555
Entity
Organization
Contact information
Practice address
520 I STREET, LOS BANOS, CA 93635-4211
(209) 826-0591
Mailing address
PO BOX 740152, LOS ANGELES, CA 90074-0152
(855) 398-1633
(209) 572-7772
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0400000177
CA
282N00000X
General Acute Care Hospital
040000177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP40528F
—
CA
05
—
ZZR00528F
—
CA
Enumeration date
11/07/2005
Last updated
12/02/2013
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