Organization
CENTRAL VALLEY SPECIALTY HOSPITAL INC
Active
Parent organization
CENTRAL VALLEY SPECIALTY HOSPITAL INC
Other names
Central Valley Specialty Hospital Skilled Nursing Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VALLEY SPECIALTY HOSPITAL INC
Authorized official
TAMMY JEAN THOMPSON (VP FINANCE)
(209) 248-7851
Entity
Organization
Contact information
Practice address
730 17TH ST, MODESTO, CA 95354-1209
(209) 248-7710
(209) 846-0345
Mailing address
1320 STANDIFORD AVE, SUITE 4 PMB 214, MODESTO, CA 95350-0726
(209) 576-2532
(209) 576-2598
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
314000000X
Skilled Nursing Facility
CA0301202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55-5882
—
CA
Enumeration date
10/12/2012
Last updated
01/25/2022
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