Organization
HAYWARD SISTERS HOSPITAL
Active
Other names
St. Rose Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEX REDDY (PRESIDENT AND CEO)
(510) 264-4002
Entity
Organization
Contact information
Practice address
27200 CALAROGA AVENUE, HAYWARD, CA 94545-4339
(510) 264-4002
(510) 887-7421
Mailing address
27200 CALAROGA AVENUE, HAYWARD, CA 94545-4383
(510) 264-4002
(510) 887-7421
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140000107
CA
314000000X
Skilled Nursing Facility
140000107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC00002F
—
CA
05
—
HSP40002F
—
CA
05
—
ZZR00002F
—
CA
01
—
ZZZ92818Z
PTAN NUMBER FOR MEDICARE 1500 CLAIM FORM BILLING
CA
Enumeration date
10/11/2005
Last updated
04/14/2015
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