St Joseph Heritage Healthcare
LBN: Providence Medical Foundation
St Joseph Heritage Healthcare is an health care organization with primary practice located at 2141 N Harbor Blvd Ste 35000 , Fullerton CA 92835. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Providence Medical Foundation can be contacted via phone (714) 626-8630, or through Duplechan, Jill Ann via phone (714) 347-7790.
Contact Information
Primary practice address
2141 N Harbor Blvd Ste 35000
Fullerton CA 92835
Phone: (714) 626-8630
Fax: (714) 626-8659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1316243769 |
|---|---|
| LBN Legal business name | Providence Medical Foundation |
| DBA Doing business as | St Joseph Heritage Healthcare |
| Authorized official | Duplechan, Jill Ann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2011 |
| Last updated | Jun 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316243769 | NPPES |
| California | Other | 6852510002 | NSC |
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