Providence Health System - Southern California in San Pedro - Skilled Nursing Facility
Providence Health System - Southern California - NPI 1770639809
Providence Health System - Southern California is a Skilled Nursing Facility in San Pedro, California. Providence Health System - Southern California practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Providence Health System - Southern California is 1770639809. The last update date is 2021-03-12.
Providence Health System - Southern California's current location address is 1322 W 6th St, San Pedro, California. You can contact this provider via phone number 3103037496 and fax number 3103037575. The mailing address for Providence Health System - Southern California is 1322 W 6th St, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health System - Southern California |
|---|---|
| Address | 1322 W 6th St, San Pedro, California |
| Phone Number | 3103037496 |
| Fax Number | 3103037575 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Anderson W Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1770639809 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2021-03-12 |
Provider Mailing Address Detail
| Address | 1322 W 6th St |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907323501 |
| Phone Number | 3103037496 |
| Fax Number | 3103037575 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 555848 | CA | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Providence Health System - Southern California by the Centers for Medicare & Medicaid Services?
The Providence Health System - Southern California has been assigned the NPI (National Provider Identifier) 1770639809. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Providence Health System - Southern California's facilities are situated?
The facilities of Providence Health System - Southern California are physically located at the following address: 1322 W 6Th St, San Pedro, CA, 907323501.
What is Providence Health System - Southern California's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Providence Health System - Southern California is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770639809 to Providence Health System - Southern California?
The Centers for Medicare & Medicaid Services originally issued the 1770639809 to Providence Health System - Southern California on 2007-01-25.
As of what date was the information pertaining to Providence Health System - Southern California, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Providence Health System - Southern California, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-12.
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