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HI-DESERT MEDICAL CENTER NPI 1477683951


NPI Information

NPI: 1477683951
Provider Name: HI-DESERT MEDICAL CENTER

Doing Business As: HI DESERT RADIOLOGY PHYSICIAN

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
6601 WHITE FEATHER RD
JOSHUA TREE, CA
ZIP 92252
Phone: (760) 366-6355
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HI-DESERT MEDICAL CENTER is a radiology clinic center in Joshua Tree, CA. HI-DESERT MEDICAL CENTER NPI is 1477683951. The provider is registered as an organization entity type.
The provider Is Doing Business As Hi Desert Radiology Physician.

The provider's business location address is:

6601 WHITE FEATHER RD
JOSHUA TREE, CA
ZIP 92252-607
Phone: (760) 366-6355
Fax: (760) 366-6364

The provider's authorized official is Thomas Duda .
The authorized official title is Cfo and has the following contact phone number (760) 366-6421.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 6/25/2008.


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
1261QR0200XClinic/CenterRadiology240000231CALIFORNIAYes

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
1FNP31524OTHERCALIFORNIAMEDICAL BOARD FICTITIOUS
2ZZZ35026ZOTHERCALIFORNIABLUE SHIELD
3GR0095320MEDICAIDCALIFORNIA
4ZZZ21156ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPROVIDER NUMBER

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

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