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Eminence Healthcare Services, LLC

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Dinuba, CA

NPI 1063601896 · NPPES record last updated Sep 21, 2017

Key facts

NPI
1063601896
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
EMINENCE HEALTHCARE SERVICES, LLC
Practice address
10026 S Crawford Ave
Rooms 1-6
Dinuba, CA 93618-9208
Phone
(559) 221-8100
Fax
(559) 221-8101
NPI assigned
Oct 17, 2007
Organization subpart
No

Authorized official

Name
Mr. Juan Garza II
Title
Ceo/Program Director
Phone
(559) 221-8100

Corporate family (same tax ID) 20

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Eminence Healthcare Inc (21 organizations share this tax ID)

Locations

10026 S Crawford Ave
Rm 16
Dinuba, CA 93618

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Yes

Addresses

Primary practice location

10026 S Crawford Ave
Rooms 1-6
Dinuba, CA 93618-9208

Mailing address

PO Box 27707
Fresno, CA 93729-7707
Phone (559) 221-8100

Other identifiers

IdentifierTypeStateIssuer
101076OtherCAMEDI-CAL

Other providers in Dinuba, CA

All providers in Dinuba, CA · Substance Use Disorder Rehabilitation Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.