KINGSBURG DISTRICT HOSPITAL (NPI# 1912040825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912040825 |
| Entity Type | Organization |
| Organization Name | KINGSBURG DISTRICT HOSPITAL |
| Other Organization Name | KINSGBURG 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 | 2007-02-14 |
| Last Update Date | 2007-12-10 |
| 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 | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC30682F | 05 |
| Other Name | Type Code |
|---|---|
| KINSGBURG 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 |
| 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 |
| 1336222314 | Kingsburg District Hospital | Long Term Care Hospital | 1200 Smith St, Kingsburg, CA 93631-2216 | 2006-10-23 |
| 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 |
| 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 |
| 1336222314 | Kingsburg District Hospital | Long Term Care Hospital | 1200 Smith St, Kingsburg, CA 93631-2216 | 2006-10-23 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588198402 | Kaiser Permanente | Medicare Defined Swing Bed Unit | 9945 Valgrande Way, Elk Grove, CA 95757-3004 | 2017-04-18 |
| 1124473210 | Vi | Medicare Defined Swing Bed Unit | 10513 Zenor Ln Unit 34, San Diego, CA 92127-6810 | 2016-04-26 |
| 1023495793 | Doc Vk Corp | Medicare Defined Swing Bed Unit | 6779 Sandalwood Dr, Simi Valley, CA 93063-5802 | 2015-05-01 |
| 1881922110 | Southern Inyo Hospical | Medicare Defined Swing Bed Unit | 501 E. Locust St., Lone Pine, CA 93545-0000 | 2009-11-24 |
| 1780829408 | Kaiser Permanente | Medicare Defined Swing Bed Unit | 550 Naples St, San Francisco, CA 94112-2824 | 2008-12-09 |
| 1598932436 | N P Coller Holding | Medicare Defined Swing Bed Unit | 7616 Girard Ave, La Jolla, CA 92037-4420 | 2008-05-09 |
| 1366658239 | Rady Children's Hospital | Medicare Defined Swing Bed Unit | 4690 Coconino Way, San Diego, CA 92117-2612 | 2007-05-15 |
| 1700936309 | Ucd-som Neurological Surgery | Medicare Defined Swing Bed Unit | 2315 Stockton Boulevard, Suite 3740 Acc, Sacramento, CA 95817-2201 | 2007-01-12 |
| 1154431096 | Va Greater La Healthcare System | Medicare Defined Swing Bed Unit | 1825 N Kingsley Dr, Los Angeles, CA 90027-3762 | 2006-08-30 |
| 1487669032 | Last Frontier Healthcare District | Medicare Defined Swing Bed Unit | 1111 N Nagle St, Alturas, CA 96101-3840 | 2006-07-30 |
| 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.