PALM DRIVE HEALTH CARE DISTRICT NPI 1588873822

NPI Information

  • NPI: 1588873822
  • Provider Name: PALM DRIVE HEALTH CARE DISTRICT
  • Classification: Medicare Defined Swing Bed Unit - 275N00000X
  • Entity Type: Organization
  • Doing Business As: PALM DRIVE HOSPITAL
  • Address: 501 PETALUMA AVE
    SEBASTOPOL, CA
    ZIP 95472
  • Phone: (707) 823-8511

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed UnitCALIFORNIAYes

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
105U385MEDICARE OSCAR/CERTIFICATION

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: 3/30/2025

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