| St. Mary Health Centers- Hesperia | |
|
17071 Main St Ste 100 Hesperia CA 92345-6071 | |
| (760) 956-7714 | |
| Not Available |
| Full Name | St. Mary Health Centers- Hesperia |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 17071 Main St Ste 100, Hesperia, California |
| Authorized Official Name and Position | Timothy Jason Brown (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2088999631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary Health Centers- Hesperia 17071 Main St Ste 100 Hesperia CA 92345-6071 Ph: () - | St. Mary Health Centers- Hesperia 17071 Main St Ste 100 Hesperia CA 92345-6071 Ph: (760) 956-7714 |
| NPI Number | 1851926000 |
|---|---|
| Provider Enumeration Date | 03/09/2020 |
| Last Update Date | 08/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851926000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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