Provider Demographics
NPI:1487639894
Name:FEATHER RIVER HOSPITAL
Entity Type:Organization
Organization Name:FEATHER RIVER HOSPITAL
Other - Org Name:ADVENTIST HEALTH FEATHER RIVER HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-877-9361
Mailing Address - Street 1:5974 PENTZ RD
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-5509
Mailing Address - Country:US
Mailing Address - Phone:530-877-8755
Mailing Address - Fax:
Practice Address - Street 1:1289 BILLE RD
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-3443
Practice Address - Country:US
Practice Address - Phone:530-876-7910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-08
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA230000017315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA051581Medicare ID - Type UnspecifiedHOSPICE MEDICARE NUMBER