Organization
COLUSA MEDICAL CENTER, LLC
Active
Organization
COLUSA MEDICAL CENTER, LLC
Active
Other names
Progressive Hospice Care, Colusa Medical Center - Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY JEAN THOMPSON (VP FINANCE)
(209) 248-7851
Entity
Organization
Contact information
Practice address
199 E WEBSTER ST, COLUSA, CA 95932-2954
(530) 619-0800
(530) 619-0897
Mailing address
700 17TH ST STE 201D, MODESTO, CA 95354-1249
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
12/06/2017
Last updated
01/28/2020
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