Active NPI
Hi -Desert Memorial Health Care District
- Private Vehicle
- Yucca Valley, CA
National Provider Identifier
1730710443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Legal business name
- HI -DESERT MEMORIAL HEALTH CARE DISTRICT
- Practice address
- 6530 La Contenta Rd Ste 100
Yucca Valley, CA 92284-7313 - Phone
- (760) 979-4276
- NPI assigned
- Jan 31, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Combs
- Title
- Ceo
- Phone
- (760) 820-9234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
6530 La Contenta Rd Ste 100
Yucca Valley, CA 92284-7313
Mailing address
6530 La Contenta Rd Ste 100
Yucca Valley, CA 92284-7313
Phone (760) 979-4276
Other names 1
- LIFT
National Provider Directory
National Provider Directory- Tax ID family
- Hi-Desert Emergency Roo
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Yucca Valley, CA
- NPI 1003369620
-
- Federally Qualified Health Center (FQHC)
- 29 Palms, CA
- NPI 1053733527
-
- Federally Qualified Health Center (FQHC)
- Yucca Valley, CA
- NPI 1649708611
Locations
6530 La Contenta Rd
Ste 100
Yucca Valley, CA 92284
Phone (760) 820-9229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580428800000",
"number": "1730710443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6530 LA CONTENTA RD STE 100",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922847313",
"telephone_number": "760-979-4276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6530 LA CONTENTA RD STE 100",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922847313",
"telephone_number": "760-979-4276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HI -DESERT MEMORIAL HEALTH CARE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A",
"authorized_official_last_name": "COMBS",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-820-9234"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LIFT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.