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EMANATE HEALTH MEDICAL CENTER NPI 1063441293


NPI Information

NPI: 1063441293
Provider Name: EMANATE HEALTH MEDICAL CENTER

Former Legal Business Name: CITRUS VALLEY MEDICAL CENTER INC.

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 05D0983472

Address:
1115 S SUNSET AVE
WEST COVINA, CA
ZIP 91790
Phone: (626) 962-4011
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EMANATE HEALTH MEDICAL CENTER is a general acute care hospital in West Covina, CA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. EMANATE HEALTH MEDICAL CENTER NPI is 1063441293. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Citrus Valley Medical Center Inc..

The provider's business location address is:

1115 S SUNSET AVE
WEST COVINA, CA
ZIP 91790-940
Phone: (626) 962-4011

The provider's authorized official is Roger Sharma .
The authorized official title is Executive Vp/cfo and has the following contact phone number (626) 938-7595.

The CLIA number assigned to this NPI record is 05D0983472 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/1/2006 and was last updated on 10/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZT30369FMEDICAIDCALIFORNIA
2ZZZA1939ZOTHERCALIFORNIABLUE SHIELD CA
3209OTHERCALIFORNIABLUE CROSS SO CAL
4ZZT40369FMEDICAIDCALIFORNIA
5HSC30369FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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