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LAST FRONTIER HEALTHCARE DISTRICT NPI 1487669032


NPI Information

NPI: 1487669032
Provider Name: LAST FRONTIER HEALTHCARE DISTRICT

Doing Business As: MODOC MEDICAL CENTER

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 05D2065510

Address:
1111 N NAGLE ST
ALTURAS, CA
ZIP 96101
Phone: (530) 708-8800
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LAST FRONTIER HEALTHCARE DISTRICT is a critical access general acute care hospital in Alturas, CA. LAST FRONTIER HEALTHCARE DISTRICT NPI is 1487669032. The provider is registered as an organization entity type.
The provider Is Doing Business As Modoc Medical Center.

The provider's business location address is:

1111 N NAGLE ST
ALTURAS, CA
ZIP 96101-840
Phone: (530) 708-8800
Fax: (530) 233-6609

The provider's authorized official is Kevin Kramer .
The authorized official title is Ceo and has the following contact phone number (530) 708-8801.

The CLIA number assigned to this NPI record is 05D2065510 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/30/2006 and was last updated on 10/15/2020.


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
1275N00000XMedicare Defined Swing Bed Unit05Z330CALIFORNIANo
2282NR1301XGeneral Acute Care HospitalRural230000026CALIFORNIANo
3282NC0060XGeneral Acute Care HospitalCritical Access051330CALIFORNIAYes

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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