Organization
DOS PALOS MEMORIAL HOSPITAL, INC
Active
Organization
DOS PALOS MEMORIAL HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY E SMITH (ADMINISTRATOR)
(209) 392-6121
Entity
Organization
Contact information
Practice address
2118 MARGUERITE ST, DOS PALOS, CA 93620-2339
(209) 392-6121
(209) 392-6881
Mailing address
2118 MARGUERITE ST, DOS PALOS, CA 93620-2339
(209) 392-6121
(209) 392-6881
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QR1300X
CA
314000000X
Skilled Nursing Facility
314000000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55311I
—
CA
05
—
RHM18598F
—
CA
Enumeration date
06/01/2005
Last updated
03/15/2012
Update your record
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