EMINENCE HEALTHCARE INC. NPI 1306035100

NPI Information

NPI: 1306035100
Provider Name: EMINENCE HEALTHCARE, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2269 SYLVIA ST
ROOM 11
SELMA, CA
ZIP 93662
Phone: (559) 221-8100
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EMINENCE HEALTHCARE, INC. is a rehabilitation and substance use disorder clinic center in Selma, CA. EMINENCE HEALTHCARE, INC. NPI is 1306035100. The provider is registered as an organization entity type.

The provider's business location address is:

2269 SYLVIA ST
ROOM 11
SELMA, CA
ZIP 93662-436
Phone: (559) 221-8100
Fax: (559) 221-8101

The provider's authorized official is Juan Garza .
The authorized official title is Coo/program Director and has the following contact phone number (559) 221-8100.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 1/28/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101076	OTHER	CALIFORNIA	DRUG MEDI-CAL

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: 5/5/2024

NPI Synchronization or Removal

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