Organization
VETERANS HOME OF CALIFORNIA
Active
Other names
N.M. Holderman Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD L. VEVERKA (ADMINISTRATOR)
(707) 944-4501
Entity
Organization
Contact information
Practice address
100 CALIFORNIA DR, YOUNTVILLE, CA 94599-1411
(707) 944-4622
(707) 948-3319
Mailing address
PO BOX 942895, SACRAMENTO, CA 94295-0001
(916) 653-0080
(916) 653-1795
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15000494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
524627
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
12/04/2008
Last updated
09/14/2015
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