7173 NORTH SHARON AVENUE OPERATING COMPANY LLC NPI 1831144716

NPI Information

NPI: 1831144716
Provider Name: 7173 NORTH SHARON AVENUE OPERATING COMPANY, LLC

Doing Business As: SAN JOAQUIN VALLEY REHABILITATION HOSPITAL

Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization

Address:
7173 N SHARON AVE
FRESNO, CA
ZIP 93720
Phone: (559) 436-3600
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7173 NORTH SHARON AVENUE OPERATING COMPANY, LLC is a rehabilitation hospital in Fresno, 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. 7173 NORTH SHARON AVENUE OPERATING COMPANY, LLC NPI is 1831144716. The provider is registered as an organization entity type.
The provider Is Doing Business As San Joaquin Valley Rehabilitation Hospital.

The provider's business location address is:

7173 N SHARON AVE
FRESNO, CA
ZIP 93720-329
Phone: (559) 436-3600
Fax: (559) 436-3606

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 05D0643573 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 12/17/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	283X00000X	Rehabilitation Hospital		040000280	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	HSP43032G	MEDICAID	CALIFORNIA
2	HSC33032G	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

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