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ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI NPI 1699084525


NPI Information

NPI: 1699084525
Provider Name: ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI

Doing Business As: ADVENTIST HEALTH COMMUNITY CARE - CALIFORNIA CITY

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 05D1058166

Address:
9350 N LOOP BLVD
CALIFORNIA CITY, CA
ZIP 93505
Phone: (661) 823-1622
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ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI is a rural health clinic center in California City, CA. ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI NPI is 1699084525. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventist Health Community Care - California City.

The provider's business location address is:

9350 N LOOP BLVD
CALIFORNIA CITY, CA
ZIP 93505-269
Phone: (661) 823-1622
Fax: (661) 823-1594

The provider's authorized official is Daniel Wolcott .
The authorized official title is President and has the following contact phone number (661) 771-8600.

The CLIA number assigned to this NPI record is 05D1058166 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2010 and was last updated on 3/24/2021.


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
1282NC0060XGeneral Acute Care HospitalCritical Access120000188CALIFORNIANo
2261QR1300XClinic/CenterRural HealthYes

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
1LTC30446FMEDICAIDCALIFORNIA
2ZZT30446FMEDICAIDCALIFORNIA
3RHM13977FMEDICAIDCALIFORNIA
4ZZT40446FMEDICAIDCALIFORNIA
5RHM08620FMEDICAIDCALIFORNIA
6RHM13979FMEDICAIDCALIFORNIA

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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