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EISENHOWER MEDICAL CENTER NPI 1578714028


NPI Information

NPI: 1578714028
Provider Name: EISENHOWER MEDICAL CENTER

Doing Business As: EISENHOWER

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
74785 US HIGHWAY 111
SUITE 100
INDIAN WELLS, CA
ZIP 92210
Phone: (760) 837-8953
Get Directions

EISENHOWER MEDICAL CENTER is an urgent care clinic center in Indian Wells, CA. EISENHOWER MEDICAL CENTER NPI is 1578714028. The provider is registered as an organization entity type.
The provider Is Doing Business As Eisenhower.

The provider's business location address is:

74785 US HIGHWAY 111
SUITE 100
INDIAN WELLS, CA
ZIP 92210-128
Phone: (760) 837-8953
Fax: (760) 837-8954

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 enumeration date for this NPI number is 10/2/2008 and was last updated on 2/10/2012.


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 Hospital250000142CALIFORNIANo
2261QU0200XClinic/CenterUrgent Care250000142CALIFORNIAYes

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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