Department Of State Hospitals in Sacramento - Intermediate Care Facility, Mental Illness

Department Of State Hospitals - NPI 1174573802

Department Of State Hospitals is a Intermediate Care Facility, Mental Illness in Sacramento, California. Department Of State Hospitals practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Department Of State Hospitals is 1174573802. The last update date is 2021-10-19.

Department Of State Hospitals's current location address is 1215 O St # Ms -3, Sacramento, California. You can contact this provider via phone number 9166518906 and fax number 9166518908. The mailing address for Department Of State Hospitals is 1215 O St # Ms -3, Sacramento, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Department Of State Hospitals
Address 1215 O St # Ms -3, Sacramento, California
Phone Number 9166518906
Fax Number 9166518908
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Alonzo-Diaz M Guadalupe
Telephone Number 9166542655

NPI Number Detail

NPI Number 1174573802
Provider Enumeration Date 2006-05-11
Last Updated Date 2021-10-19

Provider Mailing Address Detail

Address 1215 O St # Ms -3
City Sacramento
State California (CA)
Post Code 958145804
Phone Number 9166518906
Fax Number 9166518908

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Mental Illness
Taxonomy 310500000X
Licence No 150000498
Definition:
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

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FAQs about Department Of State Hospitals

What is the unique identifier code issued to Department Of State Hospitals by the Centers for Medicare & Medicaid Services (CMS)?

The Department Of State Hospitals has been assigned the NPI (National Provider Identifier) 1174573802. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Department Of State Hospitals's facilities are geographically located?

The facilities of Department Of State Hospitals are physically situated at the following location: 1215 O St # Ms -3, Sacramento, CA, 958145804.

What is Department Of State Hospitals's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Department Of State Hospitals is Intermediate Care Facility, Mental Illness, and the taxonomy code that categorizes this field of expertise is 310500000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1174573802 to Department Of State Hospitals?

The Department Of State Hospitals received its 1174573802 assignment from the Centers for Medicare & Medicaid Services on 2006-05-11.

When was the information regarding Department Of State Hospitals most recently updated?

The details pertaining to the Department Of State Hospitals, including its address, specialty, and other relevant information, were last refreshed on 2021-10-19.

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