Mad River Community Hospital Home Care Service

LBN: American Hospital Management Corporation
Mad River Community Hospital Home Care Service is an health care organization with primary practice located at 4605 Valley West Blvd , Arcata CA 95521-4635. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. American Hospital Management Corporation can be contacted via phone (707) 826-8420, or through Shaw, Douglas Allen via phone (707) 822-7220.

Contact Information

Primary practice address
4605 Valley West Blvd Arcata CA 95521-4635
Phone: (707) 826-8420
Fax: (707) 826-8428
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Douglas Allen
Phone: (707) 822-7220

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 010000166 California

Profile Details

NPI number 1750305371
LBN Legal business name American Hospital Management Corporation
DBA Doing business as Mad River Community Hospital Home Care Service
Authorized official Shaw, Douglas Allen
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 27th, 2006
Last updated Sep 20th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750305371 NPPES
California MEDICAID HHA70137F
California Other 057524
California Other ZZZ97638Z

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