Organization
CATHOLIC HEALTHCARE WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM PANKS (CFO)
(530) 225-6121
Entity
Organization
Contact information
Practice address
2550 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4327
(530) 225-6300
(530) 242-5453
Mailing address
2550 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4327
(530) 225-6300
(530) 242-5453
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC30042G
—
CA
Enumeration date
09/12/2007
Last updated
09/12/2007
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