Organization
COLUSA MEDICAL CENTER LLC
Active
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) 458-1808
Mailing address
700 17TH ST STE 201D, MODESTO, CA 95354-1249
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
282NC0060X
Critical Access Hospital
—
—
Other
Enumeration date
02/15/2017
Last updated
06/02/2020
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