Organization · Type 2 NPI
St. John's Community Health
Community Health Clinic/Center · Indio, CA
NPI number
1609624980
Active
Practice location
82025 Highway 111, Unit 101
Indio, CA 92201-5686
Mailing address
808 W 58th St
Los Angeles, CA 90037-3632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Supports Brokerage Agency | 251X00000X | None listed |
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
Community Health Clinic/Center: Definition to come...
About NPI 1609624980
St. John's Community Health's National Provider Identifier is 1609624980, issued on May 10, 2024. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Indio, CA. The record was last updated on Aug 14, 2024.