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Organization
ST. JOHN'S COMMUNITY HEALTH
Active
Organization
ST. JOHN'S COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA SOCORRO GENIE (CHIEF ADMINISTRATIVE OFFICER)
(323) 541-1600
Entity
Organization
Contact information
Practice address
82025 HIGHWAY 111, UNIT 101, INDIO, CA 92201-5686
(323) 541-1600
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1600
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251X00000X
Supports Brokerage Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/10/2024
Last updated
08/14/2024
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