| Glendale Memorial Hospital And Health Center | |
|
1420 S Central Ave Glendale CA 91204-2508 | |
| (818) 502-2215 | |
| (818) 409-7688 |
| Full Name | Glendale Memorial Hospital And Health Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1420 S Central Ave, Glendale, California |
| Authorized Official Name and Position | Kora Guoyavatin (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8185022204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Memorial Hospital And Health Center 1420 S Central Ave Glendale CA 91204-2508 Ph: (818) 502-1900 | Glendale Memorial Hospital And Health Center 1420 S Central Ave Glendale CA 91204-2508 Ph: (818) 502-2215 |
| NPI Number | 1477610640 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 12/08/2020 |
| Certification Date | 12/08/2020 |
| Medicare PECOS PAC ID | 9032458013 |
|---|---|
| Medicare Enrollment ID | O20190311002493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477610640 | NPI | - | NPPES |
| 774509 | Other | CA | AETNA |
| GMH | Other | CA | UNIVERSAL |
| ZZT30058G | Medicaid | CA | |
| HSM30058G | Medicaid | CA | |
| 050058B000000 | Other | CA | CMS SECTION 1011 |
| CGP164950 | Other | CA | DHS |
| HSC30058G | Medicaid | CA | |
| ZZZA1903Z | Other | CA | BLUE SHIELD |
| 951642380 | Other | CA | IRS |
| 951642380912040003 | Other | CA | WPS TRICARE |
| ZZT40058G | Medicaid | CA |
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