St Joseph Heritage Healthcare

LBN: Providence Medical Foundation
St Joseph Heritage Healthcare is an health care organization with primary practice located at 19333 Bear Valley Rd Suite 106, Apple Valley CA 92308-5148. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty. Providence Medical Foundation can be contacted via phone (760) 240-5505, or through Duplechan, Jill A via phone (714) 347-7790.

Contact Information

Primary practice address
19333 Bear Valley Rd Suite 106 Apple Valley CA 92308-5148
Phone: (760) 240-5505
Fax: (760) 245-5525
Website:
Map and Directions
Authorized official contact:
Name: Duplechan, Jill A
Phone: (714) 347-7790

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1053616706
LBN Legal business name Providence Medical Foundation
DBA Doing business as St Joseph Heritage Healthcare
Authorized official Duplechan, Jill A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2011
Last updated May 5th, 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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