Provider Demographics
NPI:1689023392
Name:ORCHARD HOSPITAL
Entity Type:Organization
Organization Name:ORCHARD HOSPITAL
Other - Org Name:MEDICAL SPECIALTY CENTER OROVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:STARK
Authorized Official - Suffix:
Authorized Official - Credentials:MHA, MSOP
Authorized Official - Phone:530-846-9001
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:GRIDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95948-0097
Mailing Address - Country:US
Mailing Address - Phone:530-846-9035
Mailing Address - Fax:530-846-9075
Practice Address - Street 1:2445 ORO DAM BLVD E
Practice Address - Street 2:SUITE 8
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6035
Practice Address - Country:US
Practice Address - Phone:530-353-3332
Practice Address - Fax:530-353-3335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health