PALM DRIVE HEALTH CARE DISTRICT NPI 1588873822

NPI Information

PALM DRIVE HEALTH CARE DISTRICT is a medicare defined swing bed unit in Sebastopol, CA. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. PALM DRIVE HEALTH CARE DISTRICT NPI is 1588873822. The provider is registered as an organization entity type.
The provider Is Doing Business As Palm Drive Hospital.

The provider's business location address is:

501 PETALUMA AVE
SEBASTOPOL, CA
ZIP 95472-215
Phone: (707) 823-8511
Fax: (707) 829-4141

The provider's authorized official is Lori Austin .
The authorized official title is Coo and has the following contact phone number (707) 829-4300.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 2/22/2008.

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:

Other Identifiers

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

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