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ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MODESTO LLC NPI 1598139891


NPI Information

NPI: 1598139891
Provider Name: ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MODESTO, LLC

Doing Business As: ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MODESTO

Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization

CLIA Number: 05D2119390

Address:
1303 MABLE AVENUE
MODESTO, CA
ZIP 95355
Phone: (209) 857-3400
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ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MODESTO, LLC is a rehabilitation hospital in Modesto, CA. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MODESTO, LLC NPI is 1598139891. The provider is registered as an organization entity type.
The provider Is Doing Business As Encompass Health Rehabilitation Hospital Of Modesto.

The provider's business location address is:

1303 MABLE AVENUE
MODESTO, CA
ZIP 95355
Phone: (209) 857-3400
Fax: (209) 857-3795

The provider's authorized official is Robert M. Wisner .
The authorized official title is Vice President and has the following contact phone number (205) 970-5702.

The CLIA number assigned to this NPI record is 05D2119390 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/24/2015 and was last updated on 2/13/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283X00000XRehabilitation HospitalYes

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: 4/28/2024

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