Provider Demographics
NPI:1821184441
Name:TEMPLE HOSPITAL A CORP
Entity Type:Organization
Organization Name:TEMPLE HOSPITAL A CORP
Other - Org Name:TEMPLE COMMUNITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:NEEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-382-7252
Mailing Address - Street 1:235 N HOOVER ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-3627
Mailing Address - Country:US
Mailing Address - Phone:213-382-7252
Mailing Address - Fax:213-388-1959
Practice Address - Street 1:235 N HOOVER ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-3627
Practice Address - Country:US
Practice Address - Phone:213-382-7252
Practice Address - Fax:213-388-1959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA930000164314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC70034FMedicaid
CA555480Medicare ID - Type Unspecified