Organization
MAYERS MEMORIAL HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS WARD (CEO)
(530) 336-5511
Entity
Organization
Contact information
Practice address
43563 STATE HIGHWAY 299 EAST, FALL RIVER MILLS, CA 96028
(530) 336-5511
Mailing address
PO BOX 459, 43563 STATE HIGHWAY 299 EAST, FALL RIVER MILLS, CA 96028
(530) 336-5511
(530) 336-6199
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHB307240
MEDI-CAL
CA
Enumeration date
05/09/2007
Last updated
06/24/2019
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