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NPI 1699084525

NPI 1699084525 : ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI : CALIFORNIA CITY, CA

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General NPI Number Information
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    NPI Number           |    1699084525
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI 
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Dates
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    Enumeration Date     |    09/27/2010
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    Last Update Date     |    07/24/2025
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Provider Practice Location Address
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    Address Line         |    9350 N LOOP BLVD 
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    City                 |    CALIFORNIA CITY
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    State                |    CA
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    Zip                  |    93505-2269
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    Country              |    US
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    Telephone            |    661-823-1622
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    Fax                  |    661-823-1594
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Provider Business Mailing Address
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    Address Line         |    PO BOX 845755 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90084-5755
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    Country              |    US
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    Telephone            |    661-771-8600
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    Fax                  |    661-771-8399
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JASON  WELLS 
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    Credential           |    
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    Telephone            |    661-863-3180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282NC0060X
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    Taxonomy Name        |    Critical Access Hospital
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    License Number       |    120000188
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    
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    License Number State |    
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