| Eisenhower | |
|
72780 Country Club Dr Ste 205 Rancho Mirage CA 92270-4150 | |
| (760) 779-1721 | |
| (760) 834-3578 |
| Full Name | Eisenhower |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 72780 Country Club Dr Ste 205, Rancho Mirage, California |
| Authorized Official Name and Position | Gerald Aubrey Serfling (PRESIDENT AND CEO) |
| Authorized Official Contact | 7607731345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eisenhower 39000 Bob Hope Drive Rancho Mirage CA 92270-3221 Ph: (760) 340-3911 | Eisenhower 72780 Country Club Dr Ste 205 Rancho Mirage CA 92270-4150 Ph: (760) 779-1721 |
| NPI Number | 1780835819 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 11/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780835819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 250000142 (California) | Secondary |
| 282N00000X | General Acute Care Hospital | 250000142 (California) | Primary |
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