Adventist Health Glendale | |
1509 Wilson Ter Glendale CA 91206-4007 | |
(818) 409-8000 | |
(818) 546-5600 |
Full Name | Adventist Health Glendale |
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Speciality | Psychiatric Unit |
Location | 1509 Wilson Ter, Glendale, California |
Authorized Official Name and Position | Kevin Roberts (CEO/PRESIDENT) |
Authorized Official Contact | 8184098289 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Adventist Health Glendale 1509 Wilson Ter Glendale CA 91206-4007 Ph: (818) 409-8000 | Adventist Health Glendale 1509 Wilson Ter Glendale CA 91206-4007 Ph: (818) 409-8000 |
NPI Number | 1336138403 |
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Provider Enumeration Date | 10/20/2005 |
Last Update Date | 08/16/2017 |
Medicare PECOS PAC ID | 4284692096 |
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Medicare Enrollment ID | O20130727000017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336138403 | NPI | - | NPPES |
HSM30067F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 930000059 (California) | Primary |
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