Organization
PALO VERDE HEALTH CARE DISTRICT
Active
Other names
Palo Verde Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA J ANAYA RN (CEO)
(760) 922-4115
Entity
Organization
Contact information
Practice address
250 N 1ST ST, BLYTHE, CA 92225-1702
(760) 922-4115
Mailing address
250 N 1ST ST, BLYTHE, CA 92225-1702
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
250000184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050423
BLUE CROSS BLUE SHIELD
CA
05
—
ZZT30423H
—
CA
05
—
ZZT40423H
—
CA
Enumeration date
01/17/2006
Last updated
11/26/2024
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