Provider Demographics
NPI:1497298483
Name:MAYERS MEMORIAL HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:MAYERS MEMORIAL HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-336-7512
Mailing Address - Street 1:43563 STATE HIGHWAY 299 E
Mailing Address - Street 2:PO BOX 459
Mailing Address - City:FALL RIVER MILLS
Mailing Address - State:CA
Mailing Address - Zip Code:96028-9787
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20641 COMMERCE WAY
Practice Address - Street 2:
Practice Address - City:BURNEY
Practice Address - State:CA
Practice Address - Zip Code:96013-4380
Practice Address - Country:US
Practice Address - Phone:530-336-7512
Practice Address - Fax:530-336-5723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-23
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC0050XAmbulatory Health Care FacilitiesClinic/CenterCritical Access Hospital