NPI Code Details Logo

NPI 1457885089

NPI 1457885089 : CITY OF RANCHO MIRAGE : RANCHO MIRAGE, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1457885089
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CITY OF RANCHO MIRAGE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/20/2017
-----------------------------------------------------
    Last Update Date     |    07/21/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    69825 HIGHWAY 111 
-----------------------------------------------------
    City                 |    RANCHO MIRAGE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92270-2836
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    760-324-4511
-----------------------------------------------------
    Fax                  |    760-324-8830
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    69825 HIGHWAY 111 
-----------------------------------------------------
    City                 |    RANCHO MIRAGE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92270-2836
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    760-324-4511
-----------------------------------------------------
    Fax                  |    760-324-8830
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR OF ADMINISTRATIVE SERVICES
-----------------------------------------------------
    Name                 |    MR. ISAIAH  HAGERMAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    760-324-4511
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    341600000X
-----------------------------------------------------
    Taxonomy Name        |    Ambulance
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.