Organization
COLUSA MEDICAL CENTER LLC
Active
Other names
Progressive Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY JEAN THOMPSON (VP FINANCE)
(209) 248-7851
Entity
Organization
Contact information
Practice address
199 E WEBSTER ST, COLUSA, CA 95932-2954
(530) 458-1808
Mailing address
700 17TH ST STE 201D, MODESTO, CA 95354-1249
(530) 458-1808
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
02/15/2017
Last updated
01/28/2020
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