Organization Active NPI

NH Twentynine Palms

  • Military General Acute Care Hospital
  • Twentynine Palms, CA
National Provider Identifier
1699726570
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
Legal business name
NH TWENTYNINE PALMS
Practice address
1145 Sturgis Road
Twentynine Palms, CA 92278
Phone
(760) 830-2121
Fax
(760) 830-2714
NPI assigned
May 15, 2006
Organization subpart
Yes
Parent organization
NH TWENTYNINE PALMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Sullivan
Title
Ubo Manager
Phone
(760) 830-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military General Acute Care Hospital 2865M2000X Primary

Addresses

Primary practice location

1145 Sturgis Road
Twentynine Palms, CA 92278

Mailing address

1145 Sturgis Road
Twentynine Palms, CA 92278
Phone (760) 830-2121

Other identifiers 3

IdentifierTypeStateIssuer
HSP43257FOtherCAMEDI-CAL OUTPATIENT
5662OtherCABLUE CROSS & BLUE SHIELD
HSP33257FOtherCAMEDI-CAL INPATIENT

National Provider Directory

National Provider Directory
Tax ID family
Branch Medical Clinic China Lake6 organizations share this tax ID, including this one
Part of
Branch Medical Clinic China Lake

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1699726570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 STURGIS ROAD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92278",
            "telephone_number": "760-830-2121",
            "fax_number": "760-830-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 STURGIS ROAD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92278",
            "telephone_number": "760-830-2121",
            "fax_number": "760-830-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NH TWENTYNINE PALMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NH TWENTYNINE PALMS",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "760-830-2121"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL OUTPATIENT",
            "identifier": "HSP43257F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "5662",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL INPATIENT",
            "identifier": "HSP33257F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twentynine Palms, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.