Organization
COALINGA MEDICAL CENTER, LLC
Active
Other names
COALINGA REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY JEAN THOMPSON (EXECUTIVE VP/CFO)
(209) 287-6308
Entity
Organization
Contact information
Practice address
1191 PHELPS AVE, COALINGA, CA 93210-9609
(559) 935-6562
(559) 935-6596
Mailing address
700 17TH ST STE 205, MODESTO, CA 95354-1249
(209) 287-6308
(209) 248-7825
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP40397F
—
CA
05
—
LTC55539F
—
CA
05
—
ZZR00397F
—
CA
Enumeration date
07/06/2006
Last updated
01/25/2022
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