Organization
ST. JUDE NEIGHBORHOOD HEALTH CENTERS
Active
Other names
St. Mary Health Centers- Hesperia
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JASON BROWN (CHIEF EXECUTIVE OFFICER)
(208) 899-9631
Entity
Organization
Contact information
Practice address
17071 MAIN ST STE 100, HESPERIA, CA 92345-6071
(760) 956-7714
Mailing address
17071 MAIN ST STE 100, HESPERIA, CA 92345-6071
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
08/04/2020
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