1125 SIR FRANCIS DRAKE BOULEVARD OPERATING COMPANY, LLC

Long Term Care Hospital · KENTFIELD, CA

Organization Active NPI 1760424261

Taxonomy & licensure

Specialty	Code	Primary	License	State
Long Term Care Hospital	282E00000X	✓	110000358	CA

At a glance

NPI: 1760424261
Entity type: Organization
Enumerated: 2006-06-11
Last updated (NPPES): 2023-10-03

Location

Practice address: 1125 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA, 949041418
Phone: 4154569680
Mailing address: 700 17TH ST STE 205, MODESTO, CA, 953541249

Organization

Authorized official: TAMMY THOMPSON — CFO/VP
Subpart: No

Other identifiers

05-2043 — FREMONT HEALTH (CA)
05-2043 — CORVEL (CA)
05-2043 — HEALTH NET COMP 24 (CA)
05-2043 — CCN INDUSTRIAL MEDICINE (CA)
HSP40554I (CA)
05-2043 — CCN (CA)
05-2043 — FIRST HEALTH (CA)
05-2043 — BEECH STREET (CA)
05-2043 — MARIN IPA (CA)
05-2043 — AETNA (CA)
05-2043 — BLUE SHIELD (CA)
05-2043 — BLUE CROSS (CA)
05-2043 — HEALTH NET (CA)
05-2043 — INTERPLAN (CA)
HSC00554I (CA)
05-2043 — GENERAL REINSURANCE (CA)
05-2043 — FOUNDATION HEALTH (CA)
ZZR005541 (CA)
05-2043 — CAMP AMERICA (CA)

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See all Long Term Care Hospital providers in California →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.