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PROVIDENCE ST JOHNS HEALTH CENTER NPI 1679958037


NPI Information

NPI: 1679958037
Provider Name: PROVIDENCE ST JOHNS HEALTH CENTER
Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 05D0059345

Address:
2121 SANTA MONICA BLVD
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-8317
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PROVIDENCE ST JOHNS HEALTH CENTER is a long term care hospital in Santa Monica, CA. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. PROVIDENCE ST JOHNS HEALTH CENTER NPI is 1679958037. The provider is registered as an organization entity type.

The provider's business location address is:

2121 SANTA MONICA BLVD
SANTA MONICA, CA
ZIP 90404-303
Phone: (310) 829-8317

The provider's authorized official is Steven O'day .
The authorized official title is Medical Oncologist and has the following contact phone number (310) 829-8317.

The CLIA number assigned to this NPI record is 05D0059345 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/28/2015 and was last updated on 7/28/2015.


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
1282E00000XLong Term Care HospitalA53519CALIFORNIAYes

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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