AVALON MEDICAL DEVELOPMENT CORPORATION NPI 1346250347

NPI Information

NPI: 1346250347
Provider Name: AVALON MEDICAL DEVELOPMENT CORPORATION

Doing Business As: CATALINA ISLAND MEDICAL CENTER

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
100 FALLS CANYON ROAD
AVALON, CA
ZIP 90704
Phone: (310) 510-0700
Get Directions

AVALON MEDICAL DEVELOPMENT CORPORATION is a critical access general acute care hospital in Avalon, CA. The provider is definition to come. AVALON MEDICAL DEVELOPMENT CORPORATION NPI is 1346250347. The provider is registered as an organization entity type.
The provider Is Doing Business As Catalina Island Medical Center.

The provider's business location address is:

100 FALLS CANYON ROAD
AVALON, CA
ZIP 90704-563
Phone: (310) 510-0700
Fax: (310) 510-2381

The provider's authorized official is Bryan M Ballard .
The authorized official title is Chief Executive Officer and has the following contact phone number (310) 510-0700.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	261QC0050X	Clinic/Center	Critical Access Hospital	CALIFORNIA	No
2	275N00000X	Medicare Defined Swing Bed Unit		CALIFORNIA	No
3	282E00000X	Long Term Care Hospital		CALIFORNIA	No
4	282NC0060X	General Acute Care Hospital	Critical Access	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	CALIFORNIA	EIN/TIN
2	ZZT40427G	MEDICAID	CALIFORNIA
3	RHM03918F	MEDICAID	CALIFORNIA
4	11732369	MEDICAID	COLORADO
5	126988	MEDICAID	ARIZONA
6	051307	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
7	M050427	MEDICARE PIN	CALIFORNIA
8	HAP03918F	MEDICAID	CALIFORNIA
9	ZZT30427G	MEDICAID	CALIFORNIA
10	05Z307	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
11	050427	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	OP/ACUTE MEDICARE
12	053996	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	RURAL HEALTH MEDCARE
13	555187	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
14	LTC55187G	MEDICAID	CALIFORNIA
15	CGP169282	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »