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DESERT VALLEY HOSPITAL LLC NPI 1851396576


NPI Information

NPI: 1851396576
Provider Name: DESERT VALLEY HOSPITAL, LLC

Doing Business As: DESERT VALLEY HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 05D0994471

Address:
16850 BEAR VALLEY RD
ATTENTION HOSPITAL BUSINESS OFFICE
VICTORVILLE, CA
ZIP 92395
Phone: (760) 241-8000
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DESERT VALLEY HOSPITAL, LLC is a general acute care hospital in Victorville, CA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. DESERT VALLEY HOSPITAL, LLC NPI is 1851396576. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Valley Hospital.

The provider's business location address is:

16850 BEAR VALLEY RD
ATTENTION HOSPITAL BUSINESS OFFICE
VICTORVILLE, CA
ZIP 92395-794
Phone: (760) 241-8000
Fax: (760) 951-2034

The provider's authorized official is Christopher Doan .
The authorized official title is Managing Associate General Counsel and has the following contact phone number (310) 259-4706.

The CLIA number assigned to this NPI record is 05D0994471 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2005 and was last updated on 1/25/2021.


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
1282N00000XGeneral Acute Care Hospital240000562CALIFORNIAYes

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
1HSP40709FMEDICAIDCALIFORNIA
2HSP30709FMEDICAIDCALIFORNIA

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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