Provider Demographics
NPI:1528143179
Name:THC-ORANGE COUNTY LLC
Entity type:Organization
Organization Name:THC-ORANGE COUNTY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, CORPORATE SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:629-253-5121
Mailing Address - Street 1:200 HOSPITAL CIR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3910
Mailing Address - Country:US
Mailing Address - Phone:714-893-4541
Mailing Address - Fax:714-894-3407
Practice Address - Street 1:200 HOSPITAL CIR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3910
Practice Address - Country:US
Practice Address - Phone:714-893-4541
Practice Address - Fax:714-894-3407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA060000183282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ45726ZOtherBLUE CROSS
CAHSC30363HMedicaid
CA=========OtherTRICARE/CHAMPUS
CA=========OtherCIGNA
CA=========OtherUNITED HEALTHCARE
CAHSC30363HMedicaid
CA=========OtherPACIFICARE
CA=========OtherAETNA
CA=========OtherGREAT WEST
CAZZZ45726ZOtherBLUE CROSS
CAHSC30363HMedicaid