Providence Holy Cross Medical Center

LBN: Providence Health System - Southern California
Providence Holy Cross Medical Center is an health care organization with primary practice located at 11600 Indian Hills Rd Building A, Mission Hills CA 91345-1225. 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. Providence Health System - Southern California can be contacted via phone (818) 365-8051, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
11600 Indian Hills Rd Building A Mission Hills CA 91345-1225
Phone: (818) 365-8051
Fax: (818) 496-4569
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

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

Profile Details

NPI number 1750309837
LBN Legal business name Providence Health System - Southern California
DBA Doing business as Providence Holy Cross Medical Center
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 29th, 2021 - about 3 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 1750309837 NPPES
California MEDICAID LTC70041G
California Other ZZZA1901Z
California MEDICAID ZZT18872G
California Other 555074

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