Organization
TWIN CITIES COMMUNITY HOSPITAL, INC.
Active
Other names
Twin Cities Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WARTELLE (CFO)
(805) 546-7797
Entity
Organization
Contact information
Practice address
1100 LAS TABLAS RD, TEMPLETON, CA 93465-9704
(805) 434-3500
Mailing address
PO BOX 57446, LOS ANGELES, CA 90074-7446
(209) 578-2513
(805) 434-2913
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
050000078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000438
HUMANA
—
01
—
005891-0002
PACIFICARE OF CALIFORNIA
—
01
—
050633B000000
SECTION 1011
—
01
—
557290740
AETNA US HEALTHCARE
—
05
—
HSC30633F
—
CA
05
—
HSC30633G
—
CA
05
—
ZZT40633F
—
CA
05
—
ZZT40633G
—
CA
01
—
ZZZA4003Z
BS OF CALIFORNIA
—
01
—
ZZZC4003Z
BS OF CALIFORNIA
—
Enumeration date
07/08/2006
Last updated
03/24/2022
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