Providence Saint John'S Health Center

LBN: Providence Saint John'S Health Center
Providence Saint John'S Health Center is an health care organization with primary practice located at 2121 Santa Monica Blvd , Santa Monica CA 90404-2303. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Providence Saint John'S Health Center can be contacted via phone (310) 829-5511, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
2121 Santa Monica Blvd Santa Monica CA 90404-2303
Fax: (310) 315-6135
Website:
Authorized official contact:
Name: Anderson, Donald Wayne

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 930000158 California

Profile Details

NPI number 1124026273
LBN Legal business name Providence Saint John'S Health Center
DBA Doing business as
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Feb 1st, 2018 - about 6 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 1124026273 NPPES
California MEDICAID ZZT30290F
California MEDICAID ZZT40290F

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