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PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA NPI 1336173269


NPI Information

NPI: 1336173269
Provider Name: PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

Doing Business As: PROVIDENCE SAINT JOSEPH MEDICAL CENTER

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

CLIA Number: 05D0561363

Address:
501 S BUENA VISTA ST
BURBANK, CA
ZIP 91505
Phone: (818) 847-3022
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PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA is a general acute care hospital in Burbank, 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. PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA NPI is 1336173269. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Saint Joseph Medical Center.

The provider's business location address is:

501 S BUENA VISTA ST
BURBANK, CA
ZIP 91505-809
Phone: (818) 847-3022
Fax: (310) 303-7575

The provider's authorized official is Donald W Anderson .
The authorized official title is Assistant Secretary For Enrollment and has the following contact phone number (425) 525-5392.

The CLIA number assigned to this NPI record is 05D0561363 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 3/10/2021.


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
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
1HSC30235GMEDICAIDCALIFORNIA
2ZZT30235GMEDICAIDCALIFORNIA
3ZZT40235GMEDICAIDCALIFORNIA
4050235OTHERCALIFORNIABLUE CROSS PROV#
5ZZZA1901ZOTHERCALIFORNIABLUE SHIELD PROV#

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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