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EISENHOWER MEDICAL CENTER NPI 1407007537


NPI Information

NPI: 1407007537
Provider Name: EISENHOWER MEDICAL CENTER

Doing Business As: EISENHOWER

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

CLIA Number: 05D1024844

Address:
67780 E PALM CANYON DRIVE
CATHEDRAL CITY, CA
ZIP 92234
Phone: (760) 328-1000
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EISENHOWER MEDICAL CENTER is a general acute care hospital in Cathedral City, 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. EISENHOWER MEDICAL CENTER NPI is 1407007537. The provider is registered as an organization entity type.
The provider Is Doing Business As Eisenhower.

The provider's business location address is:

67780 E PALM CANYON DRIVE
CATHEDRAL CITY, CA
ZIP 92234-441
Phone: (760) 328-1000
Fax: (760) 328-9379

The provider's authorized official is G Aubrey Serfling .
The authorized official title is Chief Executive Officer and has the following contact phone number (760) 340-3911.

The CLIA number assigned to this NPI record is 05D1024844 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 11/15/2011.


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
1261QP2300XClinic/CenterPrimary Care250000142CALIFORNIANo
2282N00000XGeneral Acute Care Hospital250000142CALIFORNIAYes

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
1050573MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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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