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Organization

SIERRA VISTA HOSPITAL, INC.

Active
Other names
Sierra Vista Regional Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT WARTELLE (CFO)
(805) 546-7797
Entity
Organization

Contact information

Practice address
1010 MURRAY ST, SAN LUIS OBISPO, CA 93405-8800
(805) 546-7600
Mailing address
FILE 57445, LOS ANGELES, CA 90074-7445
(209) 578-2513
(805) 546-7892

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
050000059
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000436
HUMANA
01
005873-0001
PACIFICARE OF CALIFORNIA
01
050506
BC OF CALIFORNIA
01
050506B000000
SECTION 1011
01
978127350
AETNA US HEALTHCARE
05
HSC30506F
CA
05
ZZT40506F
CA
01
ZZZA4002Z
BS OF CALIFORNIA
Enumeration date
07/07/2006
Last updated
03/23/2022
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