GLENN MEDICAL CENTER, LLC (NPI# 1063054831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063054831 |
| Entity Type | Organization |
| Organization Name | GLENN MEDICAL CENTER, LLC |
| Other Organization Name | GLENN MEDICAL CENTER |
| Practice Address |
1133 W Sycamore St Willows CA 95988-2601 |
| Practice Telephone | 5309341800 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | SHAMSHER SINGH (ADMINISTRATOR) |
| Authorized Official Telephone | 5303120944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| Other Name | Type Code |
|---|---|
| Glenn Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649815077 | Glenn Medical Center, LLC | General Acute Care Hospital | 130 N Enright Ave, Willows, CA 95988-2716 | 2019-11-08 |
| 1306481742 | Glenn Medical Center, LLC | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-11-08 |
| 1144865577 | Glenn Medical Center, LLC | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-11-08 |
| Street Address |
1133 W SYCAMORE ST |
| City | WILLOWS |
| State | CA |
| Zip Code | 95988-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922085877 | Jacqueline Rachel Casey | Physician Assistant | 1133 W Sycamore St, Willows, CA 95988-2601 | 2005-12-30 |
| 1023622396 | Brett Dennis Brown | Physician Assistant | 1133 W Sycamore St, Willows, CA 95988-2601 | 2020-09-03 |
| 1366052219 | Chanele Dresser | Physical Therapy Assistant | 1133 W Sycamore St, Willows, CA 95988-2601 | 2020-08-05 |
| 1306481742 | Glenn Medical Center, LLC | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-11-08 |
| 1144865577 | Glenn Medical Center, LLC | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-11-08 |
| 1982169348 | Cheryl Ann Huffman | Physical Therapist | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-02-09 |
| 1477017382 | Glenn Medical Center, Inc | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-01-24 |
| 1679045454 | Jason Mower | Physician Assistant | 1133 W Sycamore St, Willows, CA 95988-2601 | 2018-12-18 |
| 1306347547 | John Michael Christopher | Nurse Practitioner | 1133 W Sycamore St, Willows, CA 95988-2601 | 2018-02-22 |
| 1316454200 | Kau Nou Her | Physical Therapist | 1133 W Sycamore St, Willows, CA 95988-2601 | 2018-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457415192 | Eric D Wunsch | Chiropractor | 414 N. Plumas Street, Willows, CA 95988 | 2006-12-20 |
| 1255438370 | Barbara Lynne Ackerman | Surgery | 130 Enright Ave, Willows, CA 95988 | 2006-09-20 |
| 1447282868 | Michell Danforth Knight | Physician Assistant | 460 W Sycamore St, Willows, CA 95988 | 2006-07-07 |
| 1770528457 | Marc Steven Bracy | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-18 |
| 1619949138 | John Richard Pierson | Dentist | 249 North Villa, Willows, CA 95988 | 2006-02-07 |
| 1619379922 | Gillian J Barbaria | Physical Therapist | 116 S Lassen St, Willows, CA 95988 | 2014-09-17 |
| 1558547828 | John Pierson Dds Inc | Dentist | 249 North Villa, Willows, CA 95988 | 2008-01-16 |
| 1891837449 | Zsolt H Kissevich | Dentist | 207 N Butte St, Willows, CA 95988 | 2007-02-12 |
| 1609812650 | Gary M Carson | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-20 |
| 1497791404 | Everett Patrick Shareck Jr. | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-20 |
| Find all providers in zip 95988 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649815077 | Glenn Medical Center, LLC | General Acute Care Hospital | 130 N Enright Ave, Willows, CA 95988-2716 | 2019-11-08 |
| 1306481742 | Glenn Medical Center, LLC | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-11-08 |
| 1144865577 | Glenn Medical Center, LLC | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407208713 | Moheb Youssef,m.d.,inc | General Acute Care Hospital | 5730 Glen Oaks Dr, La Verne, CA 91750-1713 | 2016-07-11 |
| 1659720373 | Pavel S. Volkov, M.d. Inc. | General Acute Care Hospital | 2393 E Strathmore Pl, Fresno, CA 93730-9717 | 2016-06-03 |
| 1841647575 | Ma Corazon Sabado Domine-flores | General Acute Care Hospital | 13884 Euclid St Apt B01, Garden Grove, CA 92843-3401 | 2016-05-23 |
| 1215305404 | Karen Samartan | General Acute Care Hospital | 6361 Varsity Dr, Huntington Beach, CA 92647-6544 | 2015-09-04 |
| 1427486802 | Lake Arrowhead Physical Therapy | General Acute Care Hospital | 29099 Hospital Rd Suite 106, Lake Arrowhead, CA 92352-0070 | 2013-10-23 |
| 1841626587 | Adventist Health Clearlake Hospital, Inc | General Acute Care Hospital | 9430 Lake St, Lower Lake, CA 95457-8600 | 2013-09-25 |
| 1982948030 | Kern Medical Center | General Acute Care Hospital | 1420 H Street, Bakersfield, CA 93305 | 2012-11-15 |
| 1881960698 | Lisa M Bach Bohler | General Acute Care Hospital | 2202 N Magnolia Rd, Palm Springs, CA 92262-3652 | 2012-03-26 |
| 1750680914 | Cedars-sinai Medical Center | General Acute Care Hospital | 1650 Manning Ave, Los Angeles, CA 90024-5810 | 2011-03-26 |
| 1962705772 | Needles Hospital, Inc | General Acute Care Hospital | 1916 Desoto St, Needles, CA 92363-3023 | 2010-12-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.