Organization
VETERANS HOME OF CALIFORNIA
Active
Other names
N.M. Holderman Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA M. MCCORMACK R.D., MPS (ADMINISTRATOR)
(707) 944-4501
Entity
Organization
Contact information
Practice address
100 CALIFORNIA DR, MEDICAL STAFF OFFICE, YOUNTVILLE, CA 94599-1411
(707) 944-4716
(707) 944-5052
Mailing address
PO BOX 942895, SACRAMENTO, CA 94295-0001
(916) 653-0080
(916) 653-1795
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
15000494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA1272
RAILROAD MEDICARE
CA
Enumeration date
11/05/2008
Last updated
11/05/2008
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