Organization
ANTELOPE VALLEY HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L WALL (CHIEF EXECUTIVE OFFICER)
(661) 949-5533
Entity
Organization
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 949-5000
Mailing address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 949-5000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366419517
—
CA
Enumeration date
09/06/2018
Last updated
09/06/2018
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