Pacific Grove Convalescent Hospital

LBN: P.G.H.C.C., Inc
Pacific Grove Convalescent Hospital is an health care organization with primary practice located at 200 Lighthouse Ave , Pacific Grove CA 93950-3022. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. P.G.H.C.C., Inc can be contacted via phone (831) 375-2695, or through Lund, John Douglas via phone (805) 565-5000.

Contact Information

Primary practice address
200 Lighthouse Ave Pacific Grove CA 93950-3022
Phone: (831) 375-2695
Fax: (831) 647-9639
Website:
Map and Directions
Authorized official contact:
Name: Lund, John Douglas
Phone: (805) 565-5000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 70000075 California

Profile Details

NPI number 1275614448
LBN Legal business name P.G.H.C.C., Inc
DBA Doing business as Pacific Grove Convalescent Hospital
Authorized official Lund, John Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 29th, 2014 - about 12 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 1275614448 NPPES
California MEDICAID ZZR05356G

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