Organization
GOLD COUNTRY HEALTH CENTER
Active
Other names
GOLD COUNTRY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
STUART HARTMAN (V.P. OF OPERATIONS)
(562) 257-5100
Entity
Organization
Contact information
Practice address
4301 GOLDEN CENTER DR, PLACERVILLE, CA 95667-6260
(530) 621-1100
(530) 621-1104
Mailing address
4301 GOLDEN CENTER DR, PLACERVILLE, CA 95667-6260
(530) 621-1100
(530) 621-1104
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030000229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55180F
—
CA
Enumeration date
06/14/2005
Last updated
10/11/2013
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