CORCORAN DISTRICT HOSPITAL (NPI# 1255460176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255460176 |
| Entity Type | Organization |
| Organization Name | CORCORAN DISTRICT HOSPITAL |
| Other Organization Name | CORCORAN DISTRICT HOSPITAL HEALTH CENTER |
| Practice Address |
1310 Hanna Ave #3 Corcoran CA 93212-2314 |
| Practice Telephone | 5599925051 |
| Practice Fax Number | 5599923972 |
| Mailing Telephone | 5599925051 |
| Mailing Fax Number | 5599923972 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | DEBBIE BACH (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5599925051 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORCORAN DISTRICT HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
040000087 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM53932G | 05 |
| Other Name | Type Code |
|---|---|
| Corcoran District Hospital Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334595 | Corcoran District Hospital | General Acute Care Hospital | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2005-05-31 |
| Street Address |
1310 HANNA AVE #3 |
| City | CORCORAN |
| State | CA |
| Zip Code | 93212-2314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334595 | Corcoran District Hospital | General Acute Care Hospital | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2005-05-31 |
| 1235475484 | Reedley Community Hospital | Clinic/Center | 1310 Hanna Ave, Suite 1 & 3, Corcoran, CA 93212-2314 | 2012-12-17 |
| 1841583028 | Jasper Fermell Basit | Family Medicine | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2011-05-23 |
| 1770752545 | Premier Emergency Physicians of California | Emergency Medicine | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2008-02-26 |
| 1942479712 | Whitley Emergency Physicians | Emergency Medicine | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2008-02-26 |
| 1316075831 | E Scott Nielsen Md PC | Family Medicine | 1310 Hanna Ave, Suite 1, Corcoran, CA 93212-2314 | 2007-02-28 |
| 1952444150 | David Glen Ayers | Physical Therapist | 1310 Hanna Ave, Corcoran District Hospital, Corcoran, CA 93212 | 2007-02-15 |
| 1144304684 | Geri Lynn Mahaffey | Specialist | 1310 Hanna Ave, Ste 1, Corcoran, CA 93212-2314 | 2006-10-24 |
| 1881789188 | Ezra Scott Nielsen | Family Medicine | 1310 Hanna Ave, Ste 1, Corcoran, CA 93212-2314 | 2006-10-03 |
| 1669564969 | John Stewart Colocousis | Emergency Medicine | 1310 Hanna Ave, Corcoran, CA 93212-2314 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746583 | Luis Alvarez | Specialist/Technologist | 1000 Alder Ave, Corcoran, CA 93212 | 2016-09-01 |
| 1881893667 | William Joseph Mcguinness | Internal Medicine | 4001 W. King Ave, Corcoran, CA 93212 | 2007-07-12 |
| 1265576912 | Kings View Counseling Services for Kings Count | Community/Behavioral Health | 1002 Dairy Avenue, Corcoran, CA 93212 | 2007-02-16 |
| 1255480406 | John Vernon Dale Richardson | Dentist | 1409 Whitley Ave, Suite D, Corcoran, CA 93212 | 2007-01-09 |
| 1093748923 | Michael Alan Ross | Physician Assistant | 900 Quebec, Corcoran, CA 93212 | 2006-07-07 |
| 1407460454 | Tiffany Jean Sparks-mendoza | Social Worker | 4001 King Ave., Corcoran, CA 93212 | 2020-09-06 |
| 1376190876 | Corrections and Rehabilitation | Pharmacy | 4001 King Avenue, Corcoran, CA 93212 | 2019-08-20 |
| 1639507825 | Benjamin J Adam | Psychologist | 4001 King Ave, Corcoran, CA 93212 | 2013-10-24 |
| 1427317700 | Carolyn Virginia Bola | Psychologist | 4001 King Ave, Corcoran, CA 93212 | 2012-05-08 |
| 1629379367 | Rachel Simmi Jerdin | Social Worker | 900 Quebec Ave, Corcoran, CA 93212 | 2010-11-11 |
| Find all providers in zip 93212 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437258175 | Valley Family Health Center Medical Group, Inc. | Clinic/Center | 1026 Chase Ave, Corcoran, CA 93212-2334 | 2006-09-21 |
| 1780612846 | Ravi I Kumar Md Inc | Clinic/Center | 1001 Van Dorsten Ave, Corcoran, CA 93212-2321 | 2006-06-29 |
| 1881677292 | Reedley Community Hospital | Clinic/Center | 1212 Hanna Ave, Corcoran, CA 93212-2313 | 2005-11-21 |
| 1235475484 | Reedley Community Hospital | Clinic/Center | 1310 Hanna Ave, Suite 1 & 3, Corcoran, CA 93212-2314 | 2012-12-17 |
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| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
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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.