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Eminence Healthcare, Inc.

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

NPI 1306035100 · NPPES record last updated Jan 28, 2015

Key facts

NPI
1306035100
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
EMINENCE HEALTHCARE, INC.
Practice address
2269 Sylvia St
Room 11
Selma, CA 93662-3436
Phone
(559) 221-8100
Fax
(559) 221-8101
NPI assigned
Oct 17, 2007
Organization subpart
No

Authorized official

Name
Mr. Juan Garza II
Title
Coo/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 2

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

2269 Sylvia St
Rm 11
Selma, CA 93662

Specialties & licenses

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

Addresses

Primary practice location

2269 Sylvia St
Room 11
Selma, CA 93662-3436

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
101076OtherCADRUG MEDI-CAL

Other providers in Selma, CA

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

Sources for this page

Verify at the official NPI Registry.