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Organization

SURPRISE VALLEY HOSPITAL DISTRICT

Active
Other names
surprise valley community hospital
Organization subpart
No

Provider details

NPI number
Authorized official
DANNETTE DE PAUL (ADMINISTRATOR)
(530) 279-6111
Entity
Organization

Contact information

Practice address
741 N MAIN, MAIN & WASHINGTON ST, CEDARVILLE, CA 96104
(530) 279-6111
(530) 279-2680
Mailing address
PO BOX 246, CEDARVILLE, CA 96104-0246
(530) 279-6111
(530) 279-2680

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
CA
314000000X
Skilled Nursing Facility
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LTC55221F
CA
Enumeration date
11/01/2006
Last updated
09/11/2025
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