Organization
JFK MEMORIAL HOSPITAL, INC.
Active
Other names
John F. Kennedy Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY FISH (CFO)
(760) 775-8019
Entity
Organization
Contact information
Practice address
47-111 MONROE STREET, INDIO, CA 92201
(760) 347-6191
Mailing address
FILE 57546, LOS ANGELES, CA 90074-0001
(619) 680-4100
(760) 775-8014
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
25-50000155
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000403
HUMANA
—
01
—
001246-0001
PACIFICARE OF ARIZONA
—
01
—
0012460001
PACIFICARE OF WASHINGTON
—
01
—
050534B000000
SECTION 1011
—
01
—
611858910
AETNA US HEALTHCARE
—
05
—
HSC30534I
—
CA
05
—
HSP40534I
—
CA
01
—
ZZZA3329Z
BS OF CALIFORNIA
—
Enumeration date
07/05/2006
Last updated
04/29/2025
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