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NPI Code Detail

MEDICARE: EISENHOWER MEDICAL CENTER

MEDICARE: EISENHOWER MEDICAL CENTER
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
1282N00000XGeneral Acute Care Hospital250000142CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013981554
Entity Type Code : Organization
Provider Name (Legal Business Name) : EISENHOWER MEDICAL CENTER
Provider Business Mailing Address
First Line : 39000 BOB HOPE DR
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-3221
Country : US
Telephone Number : 760-340-3911
Fax Number :
Provider Business Practice Location Address
First Line : 39000 BOB HOPE DR
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-3202
Country : US
Telephone Number : 760-340-3911
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MARTIN JOSEPH MASSIELLO
Credential :
Telephone Number : 760-773-1228
Provider Enumeration Date : 02/13/2006
Last Update Date : 05/06/2026

Similar Medicare Providers

1710214218 — CHADI RICHEH
Practice Location Address:
39000 BOB HOPE DR
RANCHO MIRAGE, CA
92270-3202
Practice Phone: 760-834-7966
Practice Fax: 760-837-8455
1639628001 — AMY HETHERINGTON NP
Practice Location Address:
39000 BOB HOPE DR
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92270-3202
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Practice Fax: 760-773-1448
1578714028 — EISENHOWER MEDICAL CENTER
Practice Location Address:
39000 BOB HOPE DR
RANCHO MIRAGE, CA
92270-3202
Practice Phone: 760-340-3911
Practice Fax:
1619974409 — DR. MARK C FREITAG M.D.
Practice Location Address:
39000 BOB HOPE DR
RANCHO MIRAGE, CA
92270-3202
Practice Phone: 760-340-3911
Practice Fax:
1861461147 — CHRISTOPHER DI SIMONE M.D.
Practice Location Address:
39000 BOB HOPE DR
RANCHO MIRAGE, CA
92270-3202
Practice Phone: 760-346-7655
Practice Fax: 760-773-1667
1962429886 — LEE WAYNE ERLENDSON M.D.
Practice Location Address:
39000 BOB HOPE DR
RANCHO MIRAGE, CA
92270-3202
Practice Phone: 760-773-3075
Practice Fax: 760-773-3091

Directions to “EISENHOWER MEDICAL CENTER ” Practice Location

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