Organization
BAKERSFIELD MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON VAN BOENING (PRESIDENT)
(661) 327-1792
Entity
Organization
Contact information
Practice address
420 34TH ST, BAKERSFIELD, CA 93301-2237
(661) 327-4647
(661) 637-0529
Mailing address
PO BOX 1888, BAKERSFIELD, CA 93303-1888
(661) 327-4647
(661) 637-0529
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
120000181
CA
314000000X
Skilled Nursing Facility
120000181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90006
—
CA
05
—
ZZT30036F
—
CA
05
—
ZZT40036F
—
CA
01
—
ZZZA1502Z
BLUE SHIELD OF CALIF
—
Enumeration date
10/31/2006
Last updated
09/19/2013
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