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OAK VALLEY HOSPITAL DISTRICT NPI 1770624553


NPI Information

NPI: 1770624553
Provider Name: OAK VALLEY HOSPITAL DISTRICT

Doing Business As: ESCALON COMMUNITY HEALTH CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 05D0610809

Address:
2080 MCHENRY AVE # 100
ESCALON, CA
ZIP 95320
Phone: (209) 847-3011
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OAK VALLEY HOSPITAL DISTRICT is a rural health clinic center in Escalon, CA. OAK VALLEY HOSPITAL DISTRICT NPI is 1770624553. The provider is registered as an organization entity type.
The provider Is Doing Business As Escalon Community Health Clinic.

The provider's business location address is:

2080 MCHENRY AVE # 100
ESCALON, CA
ZIP 95320-484
Phone: (209) 847-3011
Fax: (209) 848-4110

The provider's authorized official is Ann Croskrey .
The authorized official title is Chief Financial Officer and has the following contact phone number (209) 848-4104.

The CLIA number assigned to this NPI record is 05D0610809 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 12/18/2020.


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
1261QR1300XClinic/CenterRural Health030000069CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HAP08606FMEDICAIDCALIFORNIA
2RHM08606FMEDICAIDCALIFORNIA
3BCP08606FMEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.