Organization · Type 2 NPI

Central Valley Specialty Hospital Inc

Meals Provider · Modesto, CA

NPI number 1356693451 Active

Practice location

730 17th St
Modesto, CA 95354-1209

Call (209) 248-7710 Map

Fax (209) 846-0345

Mailing address

1320 Standiford Ave, Suite 4 Pmb 214
Modesto, CA 95350-0726

Specialties and licenses

Taxonomy	Code	License
Meals Provider Primary	174200000X	None listed
Skilled Nursing Facility	314000000X	CA0301202 (CA)

Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

19 other providers at this address

Other meals provider providers in Modesto

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NPI record

NPI: 1356693451
Entity type: Organization (Type 2)
Issued: Oct 12, 2012
Last updated: Jan 25, 2022
Status: Active
Subpart: Yes of Central Valley Specialty Hospital Inc

Other names

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Central Valley Specialty Hospital Skilled Nursing Facility · doing business as
Central Valley Specialty Hospital Skilled Nursing Facility · doing business as

Authorized official

Tammy Jean Thompson
VP Finance
(209) 248-7851

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356693451

Central Valley Specialty Hospital Inc's National Provider Identifier is 1356693451, issued on Oct 12, 2012. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Modesto, CA. The record was last updated on Jan 25, 2022.