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EMINENCE HEALTHCARE SERVICES LLC NPI 1588849905


NPI Information

NPI: 1588849905
Provider Name: EMINENCE HEALTHCARE SERVICES, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
740 W NORTH AVE
ANNEX 1 & 5A1
REEDLEY, CA
ZIP 93654
Phone: (559) 221-8100
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EMINENCE HEALTHCARE SERVICES, LLC is a rehabilitation and substance use disorder clinic center in Reedley, CA. EMINENCE HEALTHCARE SERVICES, LLC NPI is 1588849905. The provider is registered as an organization entity type.

The provider's business location address is:

740 W NORTH AVE
ANNEX 1 & 5A1
REEDLEY, CA
ZIP 93654-418
Phone: (559) 221-8100
Fax: (559) 221-8101

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

The enumeration date for this NPI number is 1/3/2008 and was last updated on 10/5/2017.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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
1101076OTHERCALIFORNIAMEDI-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

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