Edgemoor Hospital/Dpsnf

LBN: Edgemoor Hospital/Dpsnf
Edgemoor Hospital/Dpsnf is an health care organization with primary practice located at 655 Park Center Dr , Santee CA 92071-6957. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Edgemoor Hospital/Dpsnf can be contacted via phone (619) 596-5500, or through Hilleary, Gwenmarie via phone (619) 596-5500.

Contact Information

Primary practice address
655 Park Center Dr Santee CA 92071-6957
Fax: (619) 596-5501
Website:
Authorized official contact:
Name: Hilleary, Gwenmarie

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 090000092 California

Profile Details

NPI number 1578758579
LBN Legal business name Edgemoor Hospital/Dpsnf
DBA Doing business as
Authorized official Hilleary, Gwenmarie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2007
Last updated Dec 29th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578758579 NPPES
California MEDICAID ZZT05008F

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