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ST. JOSEPH HOSPITAL OF ORANGE NPI 1790994259


NPI Information

NPI: 1790994259
Provider Name: ST. JOSEPH HOSPITAL OF ORANGE

Doing Business As: PUENTE A LA SALUD MOBILE CLINICS

Classification: Clinic/Center - 261QM1000X
Entity Type: Organization

Specialization: Migrant Health

Address:
363 S MAIN ST
SUITE 204
ORANGE, CA
ZIP 92868
Phone: (714) 744-8801
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ST. JOSEPH HOSPITAL OF ORANGE is a migrant health clinic center in Orange, CA. ST. JOSEPH HOSPITAL OF ORANGE NPI is 1790994259. The provider is registered as an organization entity type.
The provider Is Doing Business As Puente A La Salud Mobile Clinics.

The provider's business location address is:

363 S MAIN ST
SUITE 204
ORANGE, CA
ZIP 92868-833
Phone: (714) 744-8801
Fax: (714) 744-8629

The provider's authorized official is Alan H Garrett .
The authorized official title is Chief Operating Officer and has the following contact phone number (714) 771-8000.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.


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
1261QM1000XClinic/CenterMigrant HealthCALIFORNIANo
2261QM1000XClinic/CenterMigrant HealthCALIFORNIANo
3261QM1000XClinic/CenterMigrant HealthCALIFORNIANo
4261QM1000XClinic/CenterMigrant HealthCALIFORNIAYes

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
1CMM7079OFOTHERCALIFORNIAMEDI-CAL
2EAP70367FOTHERCALIFORNIA(EAPC)
3G93665-02OTHERCALIFORNIADENTICAL

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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