NPIMap

Organization Active NPI

WCHS, Inc

Doing business as East Desert Treatment Clinic

  • Methadone Clinic
  • Indio, CA
National Provider Identifier
1952440307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
33-08 Issued in CA
Legal business name
WCHS, INC
Doing business as
East Desert Treatment Clinic
Practice address
83912 Avenue 45
Suite 8
Indio, CA 92201-3338
Phone
(760) 347-0494
Fax
(760) 347-9064
NPI assigned
Feb 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christina Freitas
Title
Clinic Director
Phone
(760) 347-0494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 33-08 CA Primary

Addresses

Primary practice location

83912 Avenue 45
Suite 8
Indio, CA 92201-3338

Mailing address

83912 Avenue 45
Suite 8
Indio, CA 92201-3338
Phone (760) 347-0494

Other identifiers 1

IdentifierTypeStateIssuer
HDC70126FMedicaidCA

Other names 1

  • East Desert Treatment Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
WCHS26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

83912 Avenue 45
Ste 8
Indio, CA 92201
Phone (760) 347-0494

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952440307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83912 AVENUE 45",
            "address_2": "SUITE 8",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013338",
            "telephone_number": "760-347-0494",
            "fax_number": "760-347-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83912 AVENUE 45",
            "address_2": "SUITE 8",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013338",
            "telephone_number": "760-347-0494",
            "fax_number": "760-347-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCHS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREITAS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "760-347-0494"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "33-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HDC70126F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Desert Treatment Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.