CHUNG MEDICAL CORPORATION, INC (NPI# 1649217431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649217431 |
| Entity Type | Organization |
| Organization Name | CHUNG MEDICAL CORPORATION, INC |
| Other Organization Name | BEVERLY MEDICAL CENTER, INC |
| Practice Address |
8401 California City Blvd Suite 7 California City CA 93505-5277 |
| Practice Telephone | 7603731150 |
| Practice Fax Number | 7603737841 |
| Mailing Telephone | 7603731150 |
| Mailing Fax Number | 7603737841 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-11-11 |
| Authorized Official Name | BEVERLY ELAINE THORBUS (OWNER / ADMINISTRATOR) |
| Authorized Official Telephone | 7603823505 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
RHM53835G | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HAP53835G | 05 | |
| CA | RHM53835G | 05 |
| Other Name | Type Code |
|---|---|
| BEVERLY MEDICAL CENTER, INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386681187 | Chung Medical Corporation, Inc | Clinic/Center | 1415 W Rosamond Blvd, Suite 24, Rosamond, CA 93560-7429 | 2006-06-01 |
| Street Address |
8401 CALIFORNIA CITY BLVD SUITE 7 |
| City | CALIFORNIA CITY |
| State | CA |
| Zip Code | 93505-5277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754955 | Corrections and Rehabilitation | Pharmacy | 22844 Virginia Blvd., California City, CA 93505 | 2020-03-12 |
| 1871049619 | California City Yellow Cab Company | Taxi | 8421 Quezon, California City, CA 93505 | 2016-08-31 |
| 1588972442 | Imelda Ancheta Borja | Physician Assistant | 22844 Virginia Blvd, California City, CA 93505 | 2010-09-14 |
| 1396998498 | Donald Lee Pearson | Dentist | 22844 Virgina Blvd, California City, CA 93505 | 2008-11-03 |
| 1639372683 | Charles Ernest Cripps | Dentist | 22844 Virginia Bl., California City, CA 93505 | 2007-06-07 |
| 1447647045 | Amma Busumafi Amihyia | Pharmacist | 9160 California City Blvd, California City, CALIFORNIA 93505 | 2015-04-21 |
| 1558602581 | Heejin Lee | Pharmacist | 9482 California City Blvd, California City, CA 93505 | 2013-03-15 |
| 1316221377 | Mercy Eze | Nurse Practitioner | 9300 N Loop Blvd, Suite A and B, California City, CA 93505 | 2011-10-07 |
| 1023670791 | Regino Moreno | Massage Therapist | 9425 Irene Ave, California City, CA 93505-1216 | 2019-07-02 |
| 1376867721 | Erika T Frieson | Social Worker | 9649 N Loop Blvd, A, California City, CA 93505-1318 | 2010-03-15 |
| Find all providers in zip 93505 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942578943 | Cal City Clinic | Clinic/Center | 9300 N Loop Blvd Ste A&b, California City, CA 93505-2269 | 2011-12-05 |
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|---|---|---|---|---|
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| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CALIFORNIA CITY |
| Zip Code | 93505 |
Please comment or provide details below to improve the information on CHUNG MEDICAL CORPORATION, INC.
| 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.