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ST. JOHN OF GOD HEALTH CARE SERVICES NPI 1942679006


NPI Information

NPI: 1942679006
Provider Name: ST. JOHN OF GOD HEALTH CARE SERVICES
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
13333 PALMDALE RD
VICTORVILLE, CA
ZIP 92392
Phone: (760) 241-4917
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ST. JOHN OF GOD HEALTH CARE SERVICES is a substance abuse rehabilitation facility in Victorville, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ST. JOHN OF GOD HEALTH CARE SERVICES NPI is 1942679006. The provider is registered as an organization entity type.

The provider's business location address is:

13333 PALMDALE RD
VICTORVILLE, CA
ZIP 92392-364
Phone: (760) 241-4917
Fax: (760) 951-7967

The provider's authorized official is Gregory E Barnes .
The authorized official title is Administrator and has the following contact phone number (760) 241-4917.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 9/18/2015.


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
1324500000XSubstance Abuse Rehabilitation Facility360003HNCALIFORNIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.