Organization · Type 2 NPI

Providence Saint John's Health Center

Community/Behavioral Health Agency · Santa Monica, CA

NPI number 1609901016 Active

Practice location

1339 20th St
Santa Monica, CA 90404-2033

Fax (310) 829-8455

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	569538 (CA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1609901016
Entity type: Organization (Type 2)
Issued: Feb 23, 2007
Last updated: Apr 21, 2016
Status: Active
Subpart: Yes of Providence Saint John's Hospital and Health Center

Other names

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Providence Saint Johns Health Cop · other name

Authorized official

Mrs. Ruth Canas, LCSW
Outpatient Director
(310) 829-8921

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609901016

Providence Saint John's Health Center's National Provider Identifier is 1609901016, issued on Feb 23, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Santa Monica, CA. The record was last updated on Apr 21, 2016.