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:
Map and Directions
Authorized official contact:
Name: Duplechan, Jill Ann
Phone: (714) 347-7790

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316243769 NPPES
California Other 6852510002 NSC

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