Indio Substance Use Program

LBN: County Of Riverside
Indio Substance Use Program is an health care organization with primary practice located at 83912 Avenue 45 Suite 9, Indio CA 92201-3338. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. County Of Riverside can be contacted via phone (760) 347-0754, or through Wengerd, Jerry A via phone (951) 358-4501.

Contact Information

Primary practice address
83912 Avenue 45 Suite 9 Indio CA 92201-3338
Phone: (760) 347-0754
Fax: (760) 347-8507
Website:
Map and Directions
Authorized official contact:
Name: Wengerd, Jerry A
Phone: (951) 358-4501

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1134295702
LBN Legal business name County Of Riverside
DBA Doing business as Indio Substance Use Program
Authorized official Wengerd, Jerry A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2006
Last updated Dec 10th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134295702 NPPES
California MEDICAID 3316
California Other 333316

Popular Providers