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NPI Code Detail

MEDICARE: PRIVATE HEALTHCARE FACILITIES

MEDICARE: PRIVATE HEALTHCARE FACILITIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QB0400XBirthing Clinic/Center

General Provider Information

NPI Number : 1649890351
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIVATE HEALTHCARE FACILITIES
Provider Business Mailing Address
First Line : 902 KITTY HAWK RD # 170487
Second Line :
City : UNIVERSAL CITY
State : TX
Zip : 78148-3825
Country : US
Telephone Number : 866-996-2340
Fax Number : 888-329-2091
Provider Business Practice Location Address
First Line : 4757 BRIGHTON AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92107-2221
Country : US
Telephone Number : 866-996-2340
Fax Number :
Authorized Official
Title or Position : OFFICE STAFF
Name : PRISCILLA HOLLINGSWORTH
Credential :
Telephone Number : 866-996-2340
Provider Enumeration Date : 04/22/2020
Last Update Date : 12/22/2024

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Directions to “PRIVATE HEALTHCARE FACILITIES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.