Organization
ST. MARY MEDICAL CENTER
Active
Other names
Providence St. Mary Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL CASTILLO (CHIEF EXECUTIVE)
(760) 946-8195
Entity
Organization
Contact information
Practice address
18077 US HIGHWAY 18, APPLE VALLEY, CA 92307-2150
(760) 946-8169
(760) 946-8875
Mailing address
18300 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 242-2311
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW1225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GNMW00060
MEDICAL
CA
Enumeration date
09/19/2007
Last updated
12/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us