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ALPINE SPECIAL TREATMENT CENTER NPI 1063589620


NPI Information

NPI: 1063589620
Provider Name: ALPINE SPECIAL TREATMENT CENTER
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization

CLIA Number: 05D0894919

Address:
2120 ALPINE BLVD
ALPINE, CA
ZIP 91901
Phone: (619) 445-2644
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ALPINE SPECIAL TREATMENT CENTER is an intermediate care facility mental illness in Alpine, CA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. ALPINE SPECIAL TREATMENT CENTER NPI is 1063589620. The provider is registered as an organization entity type.

The provider's business location address is:

2120 ALPINE BLVD
ALPINE, CA
ZIP 91901-113
Phone: (619) 445-2644
Fax: (619) 659-3122

The provider's authorized official is Kristin Allred .
The authorized official title is Administrator and has the following contact phone number (619) 445-7570.

The CLIA number assigned to this NPI record is 05D0894919 - skilled nursing facility/nursing facility with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/29/2006 and was last updated on 5/19/2021.


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
1310500000XIntermediate Care Facility, Mental IllnessYes

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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