EMINENCE HEALTHCARE INC. NPI 1821211707

NPI Information

NPI: 1821211707
Provider Name: EMINENCE HEALTHCARE, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2025 N. GATEWAY BLVD. STE 104
FRESNO, CA
ZIP 93727
Phone: (559) 221-8100
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EMINENCE HEALTHCARE, INC. is a rehabilitation and substance use disorder clinic center in Fresno, CA. EMINENCE HEALTHCARE, INC. NPI is 1821211707. The provider is registered as an organization entity type.

The provider's business location address is:

2025 N. GATEWAY BLVD. STE 104
FRESNO, CA
ZIP 93727-619
Phone: (559) 221-8100
Fax: (559) 221-8100

The provider's authorized official is Donnie Joseph Andrade .
The authorized official title is Ceo and has the following contact phone number (559) 221-8100.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 7/7/2011.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		CALIFORNIA	Yes

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
1	101076000	OTHER	CALIFORNIA	DRUG MEDI-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: 4/28/2024

NPI Synchronization or Removal

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