KINGSBURG DISTRICT HOSPITAL (NPI# 1336222314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336222314 |
| Entity Type | Organization |
| Organization Name | KINGSBURG DISTRICT HOSPITAL |
| Other Organization Name | KINGSBURG MEDICAL CENTER |
| Practice Address |
1200 Smith St Kingsburg CA 93631-2216 |
| Practice Telephone | 5598975841 |
| Practice Fax Number | 5598975579 |
| Mailing Telephone | 5598975841 |
| Mailing Fax Number | 5598975579 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | MR. LUIS SIERRA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5598975841 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 555452 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTM90006F | 05 |
| Other Name | Type Code |
|---|---|
| KINGSBURG MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295920049 | Kingsburg District Hospital | General Acute Care Hospital | 1200 Smith St, Kingsburg, CA 93631-2216 | 2007-09-13 |
| 1912040825 | Kingsburg District Hospital | Medicare Defined Swing Bed Unit | 1200 Smith St, Kingsburg, CA 93631-2216 | 2007-02-14 |
| 1609919513 | Kingsburg District Hospital | General Acute Care Hospital | 1200 Smith St, Kingsburg, CA 93631-2216 | 2007-02-14 |
| 1376685347 | Kingsburg District Hospital | General Acute Care Hospital | 1200 Smith St, Kingsburg, CA 93631-2216 | 2007-02-13 |
| 1891837878 | Kingsburg District Hospital | Clinic/Center | 1200 Smith St, Kingsburg, CA 93631-2216 | 2007-02-13 |
| Street Address |
1200 SMITH ST |
| City | KINGSBURG |
| State | CA |
| Zip Code | 93631-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972541175 | Rex Jeffries | Emergency Medicine | 1200 Smith St, Kingsburg, CA 93631-2216 | 2006-06-02 |
| 1073989661 | Crestwood Behavioral Health, Inc. | Intermediate Care Facility, Mental Illness | 1200 Smith St, Kingsburg, CA 93631-2216 | 2015-08-18 |
| 1295920049 | Kingsburg District Hospital | General Acute Care Hospital | 1200 Smith St, Kingsburg, CA 93631-2216 | 2007-09-13 |
| 1912040825 | Kingsburg District Hospital | Medicare Defined Swing Bed Unit | 1200 Smith St, Kingsburg, CA 93631-2216 | 2007-02-14 |
| 1609919513 | Kingsburg District Hospital | General Acute Care Hospital | 1200 Smith St, Kingsburg, CA 93631-2216 | 2007-02-14 |
| 1376685347 | Kingsburg District Hospital | General Acute Care Hospital | 1200 Smith St, Kingsburg, CA 93631-2216 | 2007-02-13 |
| 1891837878 | Kingsburg District Hospital | Clinic/Center | 1200 Smith St, Kingsburg, CA 93631-2216 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336799790 | Eric Lane Silvius | Technician | 2340 18th Avenue, Kingsburg, CA 93631 | 2019-09-18 |
| 1356855647 | Henry Pereschica | Interpreter | 221 Mariposa St, Kingsburg, CA 93631 | 2017-11-22 |
| 1386796423 | Tri County Family Medical Clinic | Family Medicine | 2400 Sierra Street, Kingsburg, CA 93631 | 2007-01-17 |
| 1558665877 | Robert B Stillwagon | Physical Therapist | 392 Sierra St, Kingsburg, CA 93631 | 2010-12-29 |
| 1104074400 | Kingsburg Family Dental | Dentist | 1064 Lewis St, Kingsburg, CA 93631 | 2008-08-29 |
| 1447303268 | Gregory A Dunford | Family Medicine | 2400 Sierra Street, Kingsburg, CA 93631 | 2007-01-18 |
| 1154474971 | Bruce A Trevino | Family Medicine | 2400 Sierra Street, Kingsburg, CA 93631 | 2007-01-18 |
| 1790792356 | Model Drug Inc | Pharmacy | 1506 Draper St, Kingsburg, CA 93631 | 2006-08-03 |
| 1699760090 | Shaunna Shortes | Family Medicine | Po Box 472, Kingsburg, CA 93631-0472 | 2005-09-13 |
| 1386830214 | Kingsburg Joint Union Elementary | Local Education Agency (LEA) | 1310 Stroud Ave, Kingsburg, CA 93631-1000 | 2007-09-25 |
| Find all providers in zip 93631 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
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|---|---|---|---|---|
| 1033766282 | Odedra Enterprises, Inc. | Long Term Care Hospital | 2809 Olive Hwy Ste 160, Oroville, CA 95966-6133 | 2019-08-22 |
| 1063916534 | Labri, Inc | Long Term Care Hospital | 26491 Aracena Dr, Mission Viejo, CA 92691-5101 | 2018-03-20 |
| 1194118554 | Raquel Cabrera | Long Term Care Hospital | 662 Kempton St, Spring Valley, CA 91977-5016 | 2015-03-10 |
| 1417365693 | Genesis Rehab Services | Long Term Care Hospital | 211103 Old Ranch Ct, Salinas, CA 93908 | 2014-07-31 |
| 1265840532 | Genesis Rehab Services | Long Term Care Hospital | 2506 Swift Ave, Clovis, CA 93611-3900 | 2014-07-30 |
| 1922363209 | Valley Medical Center | Long Term Care Hospital | 21490 Columbus Ave, Cupertino, CA 95014-4971 | 2012-07-12 |
| 1679848808 | Therapists Unlimited | Long Term Care Hospital | 367 Eastridge Dr, San Ramon, CA 94582-4912 | 2012-03-21 |
| 1134493463 | Centinela Hospital Medical Center | Long Term Care Hospital | 120 South Reno St Unit 347, Los Angeles, CA 90057 | 2012-03-05 |
| 1891086914 | Divine Medical Supply, Incorporated | Long Term Care Hospital | 285 S Gilbert St, Fullerton, CA 92833-2908 | 2011-04-23 |
| 1215247978 | Knd Development 53, L.L.C. | Long Term Care Hospital | 1246 W. 155th St, Gardena, CA 90247-4011 | 2010-10-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.