AVALON MEDICAL DEVELOPMENT CORPORATION NPI 1346250347

NPI Information

NPI: 1346250347
Provider Name: AVALON MEDICAL DEVELOPMENT CORPORATION

Doing Business As: CATALINA ISLAND HEALTH

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

The provider's business location address is:

100 FALLS CANYON ROAD
AVALON, CA
ZIP 90704-563
Phone: (310) 510-0700
Fax: (310) 510-2938

The provider's authorized official is Jason D Paret .
The authorized official title is Ceo 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 2/7/2024.

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	282E00000X	Long Term Care Hospital		930000010	CALIFORNIA	No
2	275N00000X	Medicare Defined Swing Bed Unit		930000010	CALIFORNIA	No
3	261QC0050X	Clinic/Center	Critical Access Hospital	930000010	CALIFORNIA	No
4	282NC0060X	General Acute Care Hospital	Critical Access	930000010	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
1	RHM03918F	MEDICAID	CALIFORNIA
2	ZZT30427G	MEDICAID	CALIFORNIA
3	126988	MEDICAID	ARIZONA
4	CGP169282	MEDICAID	CALIFORNIA
5	HAP03918F	MEDICAID	CALIFORNIA
6	11732369	MEDICAID	COLORADO
7	ZZT40427G	MEDICAID	CALIFORNIA
8	LTC55187G	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: 4/28/2024

NPI Synchronization or Removal

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