Organization · Type 2 NPI

Oak Valley Hospital District

Rural Health Clinic/Center · Waterford, CA

NPI number 1881030401 Active

Practice location

12146 Yosemite Blvd
Waterford, CA 95386-9163

Call (209) 848-4138 Map

Fax (209) 848-7008

Mailing address

350 S Oak Ave
Oakdale, CA 95361-3519

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	030000069 (CA)

Rural Health Clinic/Center: Definition to come...

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NPI record

NPI: 1881030401
Entity type: Organization (Type 2)
Issued: May 22, 2013
Last updated: Dec 18, 2020
Status: Active
Subpart: Yes of Oak Valley Hospital District

Other names

<unavail>
Waterford Community Health Center · doing business as
Waterford Community Health Center · doing business as

Authorized official

Ann Croskrey
Chief Financial Officer
(209) 848-4104

Verify this record

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 1881030401

Oak Valley Hospital District's National Provider Identifier is 1881030401, issued on May 22, 2013. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Waterford, CA. The record was last updated on Dec 18, 2020.