Organization
SURPRISE VALLEY HEALTH CARE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA L. GROVE (ADMINISTRATOR)
(530) 279-6111
Entity
Organization
Contact information
Practice address
741 MAIN & WASHINGTON, CEDARVILLE, CA 96104-0246
(530) 279-6111
(530) 279-2680
Mailing address
PO BOX 246, 741 NORTH MAIN, CEDARVILLE, CA 96104-0246
(530) 279-6111
(530) 279-2680
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
230000025
CA
261QR0200X
Radiology Clinic/Center
230000025
CA
282N00000X
General Acute Care Hospital
230000025
CA
282NC0060X
Critical Access Hospital
Primary
230000025
CA
291U00000X
Clinical Medical Laboratory
230000025
CA
3416L0300X
Land Ambulance
230000025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP30676F
—
CA
05
—
HSP40676F
—
CA
05
—
MTE00309F
—
CA
Enumeration date
11/01/2006
Last updated
09/28/2011
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