Organization
LAST FRONTIER HEALTHCARE DISTRICT
Active
Other names
Modoc Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
WALT BECK CPA (CEO)
(530) 233-5883
Entity
Organization
Contact information
Practice address
225 W MCDOWELL AVE, ALTURAS, CA 96101-3933
(530) 233-3416
(530) 233-6609
Mailing address
228 W MCDOWELL AVE, ALTURAS, CA 96101-3934
(530) 233-5131
(530) 233-6609
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
CA
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55420F
—
CA
Enumeration date
09/21/2006
Last updated
07/21/2022
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