Hcm Susanville Convalescent Hospital, INC.
Skilled Nursing Facility in Susanville, CA. Organization (NPI-2).
NPI number1629180484
StatusActive
Last updated in NPPESApr 1, 2008
Details
- NPI
- 1629180484
- Entity type
- Organization (NPI-2)
- Legal business name
- Hcm Susanville Convalescent Hospital, INC.
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Apr 1, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 230000058 | CA | Yes |
Other names
- Susanville Nursing And Rehabilitation Center (Doing Business As)
Practice location
2005 River StSusanville, CA 96130-4524
Phone 530-257-5341 · Fax 530-257-8150
Mailing address
632 E Yosemite AveMadera, CA 93638-3343
Phone 559-673-5149 · Fax 559-673-7249
Authorized official
Arden Bennett
Ceo
5596735149
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