Organization
SCRIPPS HEALTH
Active
Parent organization
SCRIPPS HEALTH
Other names
Scripps Mercy Hospital Behavioral Health Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCRIPPS HEALTH
Authorized official
BRETT TANDE (EVP/CFO)
(858) 678-7227
Entity
Organization
Contact information
Practice address
4077 5TH AVE, SAN DIEGO, CA 92103-2105
(619) 260-7101
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 657-4218
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
050000074
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050077
BLUE CROSS
—
01
—
090000074
STATE LICENSE
—
01
—
6152170
AETNA
—
01
—
HSM30077G
MEDICAL IN PATIENT
—
01
—
ME
KAISER
—
01
—
ZZT40077G
MEDICAL HMO OUT PATIENT
—
01
—
ZZZA3708Z
BLUE SHIELD
—
Enumeration date
12/30/2005
Last updated
07/11/2022
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