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OAK VALLEY HOSPITAL DISTRICT NPI 1841331626


NPI Information

NPI: 1841331626
Provider Name: OAK VALLEY HOSPITAL DISTRICT

Doing Business As: OAKDALE COMMUNITY HEALTH CENTER

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

Specialization: Rural Health

CLIA Number: 05D1104049

Address:
1420 W H ST
OAKDALE, CA
ZIP 95361
Phone: (209) 847-3011
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OAK VALLEY HOSPITAL DISTRICT is a rural health clinic center in Oakdale, CA. OAK VALLEY HOSPITAL DISTRICT NPI is 1841331626. The provider is registered as an organization entity type.
The provider Is Doing Business As Oakdale Community Health Center.

The provider's business location address is:

1420 W H ST
OAKDALE, CA
ZIP 95361-557
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 05D1104049 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

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
1BCP13978FMEDICAIDCALIFORNIA
2RHM13978FMEDICAIDCALIFORNIA
3HAP13978FMEDICAIDCALIFORNIA

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

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