Clinton Village Convalescent Hospital

LBN: Clinton Village Convalescent Hospital
Clinton Village Convalescent Hospital is an health care organization with primary practice located at 1833 10Th Ave , Oakland CA 94606-3023. The organization recently has only one registered license in Hospitals / Long Term Care Hospital, which is considered as the primary health care specialty. Clinton Village Convalescent Hospital can be contacted via phone (510) 536-6510, or through Parker, Grace D. via phone (510) 537-7088.

Contact Information

Primary practice address
1833 10Th Ave Oakland CA 94606-3023
Phone: (510) 536-6510
Fax: (510) 536-4319
Website:
Map and Directions
Authorized official contact:
Name: Parker, Grace D.
Phone: (510) 537-7088

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Long Term Care Hospital 282E00000X LTC90086F California

Profile Details

NPI number 1558545384
LBN Legal business name Clinton Village Convalescent Hospital
DBA Doing business as
Authorized official Parker, Grace D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2007
Last updated Dec 28th, 2007 - about 19 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 1558545384 NPPES
California MEDICAID LTC90086F

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