Organization
OAK VALLEY HOSPITAL DISTRICT
Active
Parent organization
OAK VALLEY HOSPITAL DISTRICT
Other names
Oak Valley Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAK VALLEY HOSPITAL DISTRICT
Authorized official
ANN CROSKREY (CHIEF FINANCIAL OFFICER)
(209) 848-4104
Entity
Organization
Contact information
Practice address
275 S OAK AVE, OAKDALE, CA 95361-3517
(209) 847-3011
(209) 848-4110
Mailing address
350 S OAK AVE, OAKDALE, CA 95361-3519
(209) 847-3011
(209) 848-7008
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030000069
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
030000069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHB376720
—
CA
05
—
ZZR06155G
—
CA
Enumeration date
02/12/2007
Last updated
12/18/2020
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