Providence St. Joseph Hospital | |
1100 W Stewart Dr Orange CA 92868-3849 | |
(714) 633-9111 | |
(714) 744-8570 |
Full Name | Providence St. Joseph Hospital |
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Speciality | Psychiatric Unit |
Location | 1100 W Stewart Dr, Orange, California |
Authorized Official Name and Position | Jeremy S Zoch (CEO) |
Authorized Official Contact | 7147718909 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Providence St. Joseph Hospital 1100 W Stewart Dr Orange CA 92868-3849 Ph: () - | Providence St. Joseph Hospital 1100 W Stewart Dr Orange CA 92868-3849 Ph: (714) 633-9111 |
NPI Number | 1285619254 |
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Provider Enumeration Date | 12/13/2005 |
Last Update Date | 12/24/2020 |
Certification Date | 12/24/2020 |
Medicare PECOS PAC ID | 9234227612 |
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Medicare Enrollment ID | O20120312000796 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285619254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 060000172 (California) | Primary |
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