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NPI Code Detail

MEDICARE: SADIE M WARD MHS

MEDICARE: SADIE M WARD MHS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1679810501
Entity Type Code : Individual
Provider Name (Legal Business Name) : SADIE M WARD MHS
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 661-868-6601
Fax Number : 661-868-6666
Provider Business Practice Location Address
First Line : 1111 COLUMBUS ST STE 3000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93305-1939
Country : US
Telephone Number : 661-868-8300
Fax Number : 661-868-8317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2013
Last Update Date : 01/11/2013

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