Providence Community Services

LBN: Providence Community Services
Providence Community Services is an health care organization with primary practice located at 3890 11Th. Street Suite 118, Riverside CA 92501. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Providence Community Services can be contacted via phone (562) 467-5577, or through Molnar, Michelle via phone (562) 467-5577.

Contact Information

Primary practice address
3890 11Th. Street Suite 118 Riverside CA 92501
Phone: (562) 467-5577
Fax: (562) 467-5553
Website:
Map and Directions
Authorized official contact:
Name: Molnar, Michelle
Phone: (562) 467-5577

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X California

Profile Details

NPI number 1255754784
LBN Legal business name Providence Community Services
DBA Doing business as
Authorized official Molnar, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2014
Last updated Feb 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255754784 NPPES
California MEDICAID 00

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