Jerry L. Pettis Va Memorial Hospital in Riverside - Psychiatric Hospital
Jerry L. Pettis Va Memorial Hospital - NPI 1629264775
Jerry L. Pettis Va Memorial Hospital is a Psychiatric Hospital in Riverside, California. Jerry L. Pettis Va Memorial Hospital practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for Jerry L. Pettis Va Memorial Hospital is 1629264775. The last update date is 2007-09-22.
Jerry L. Pettis Va Memorial Hospital's current location address is 19845 San Luis Rey Ln, Riverside, California. You can contact this provider via phone number 9516537051. The mailing address for Jerry L. Pettis Va Memorial Hospital is 19845 San Luis Rey Ln, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jerry L. Pettis Va Memorial Hospital |
|---|---|
| Address | 19845 San Luis Rey Ln, Riverside, California |
| Phone Number | 9516537051 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Stordahl Dean |
| Telephone Number | 9098257084 |
NPI Number Detail
| NPI Number | 1629264775 |
|---|---|
| Provider Enumeration Date | 2007-09-22 |
| Last Updated Date | 2007-09-22 |
Provider Mailing Address Detail
| Address | 19845 San Luis Rey Ln |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925086494 |
| Phone Number | 9516537051 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Hospital |
|---|---|
| Taxonomy | 283Q00000X |
| Licence No | 219193 |
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Definition: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerry L. Pettis Va Memorial Hospital by the Centers for Medicare & Medicaid Services?
The Jerry L. Pettis Va Memorial Hospital has been issued the NPI (National Provider Identifier) 1629264775 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jerry L. Pettis Va Memorial Hospital is located?
The Jerry L. Pettis Va Memorial Hospital is situated at the following address: 19845 San Luis Rey Ln, Riverside, CA, 925086494.
What is Jerry L. Pettis Va Memorial Hospital's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerry L. Pettis Va Memorial Hospital is Psychiatric Hospital, and the taxonomy code that classifies this field of practice is 283Q00000X.
On what date did the Jerry L. Pettis Va Memorial Hospital receive the assignment of its 1629264775 from the Centers for Medicare & Medicaid Services?
The Jerry L. Pettis Va Memorial Hospital was issued its 1629264775 by the Centers for Medicare & Medicaid Services on 2007-09-22.
As of what date were the details related to Jerry L. Pettis Va Memorial Hospital most recently updated or revised?
The information pertaining to Jerry L. Pettis Va Memorial Hospital, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-22.
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