# EISENHOWER MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EISENHOWER MEDICAL CENTER
- **Other names:** Eisenhower Occupational Health Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518273515
- **Legal business name:** EISENHOWER MEDICAL CENTER
- **Authorized official:** KIM MARIE ULLRICH (DIRECTOR)
- **Authorized official phone:** (760) 770-1277

## Contact information

- **Practice address:** 78822 HIGHWAY 111, LA QUINTA, CA 92253-2046
- **Practice address phone:** (760) 777-7701
- **Practice address fax:** (760) 328-2191
- **Mailing address:** 78822 HIGHWAY 111, LA QUINTA, CA 92253-2046
- **Mailing address phone:** (760) 777-7701
- **Mailing address fax:** (760) 328-2191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/27/2010
- **Last updated:** 08/27/2010