Organization
NH TWENTYNINE PALMS
Active
Parent organization
NH TWENTYNINE PALMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
NH TWENTYNINE PALMS
Authorized official
STEPHANIE SULLIVAN (UBO MANAGER)
(760) 830-2121
Entity
Organization
Contact information
Practice address
1145 STURGIS ROAD, TWENTYNINE PALMS, CA 92278
(760) 830-2121
(760) 830-2714
Mailing address
1145 STURGIS ROAD, TWENTYNINE PALMS, CA 92278
(760) 830-2121
(760) 830-2714
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5662
BLUE CROSS & BLUE SHIELD
CA
01
—
HSP33257F
MEDI-CAL INPATIENT
CA
01
—
HSP43257F
MEDI-CAL OUTPATIENT
CA
Enumeration date
05/15/2006
Last updated
06/13/2025
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