Hospice Of Petaluma

LBN: Srm Alliance Hospital Services
Hospice Of Petaluma is an health care organization with primary practice located at 416 Payran St , Petaluma CA 94952-5907. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Hospice, Inpatient, which is considered as the primary health care specialty. Srm Alliance Hospital Services can be contacted via phone (707) 778-6242, or through Ryder, Judith C via phone (707) 778-6242.

Contact Information

Primary practice address
416 Payran St Petaluma CA 94952-5907
Phone: (707) 778-6242
Fax: (707) 778-0144
Website:
Map and Directions
Authorized official contact:
Name: Ryder, Judith C
Phone: (707) 778-6242

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Hospice, Inpatient 315D00000X 100000735 California

Profile Details

NPI number 1790770188
LBN Legal business name Srm Alliance Hospital Services
DBA Doing business as Hospice Of Petaluma
Authorized official Ryder, Judith C
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 13th, 2005
Last updated Nov 5th, 2009 - about 17 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 1790770188 NPPES
California MEDICAID H01557G

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