1125 SIR FRANCIS DRAKE BOULEVARD OPERATING COMPANY LLC NPI 1386009108

NPI Information

1125 SIR FRANCIS DRAKE BOULEVARD OPERATING COMPANY LLC is a long term care hospital in San Francisco, CA. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. 1125 SIR FRANCIS DRAKE BOULEVARD OPERATING COMPANY LLC NPI is 1386009108. The provider is registered as an organization entity type.
The provider Is Doing Business As Kentfield Hospital San Francisco.

The provider's business location address is:

450 STANYAN ST
6TH FLOOR
SAN FRANCISCO, CA
ZIP 94117-019
Phone: (415) 456-9680

The provider's authorized official is Clint T. Fegan .
The authorized official title is Sec/treas and has the following contact phone number (717) 591-5700.

The CLIA number assigned to this NPI record is 05D2112780 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/21/2015 and was last updated on 12/14/2018.

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:

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