Organization
PRODIGY HEALTHCARE, INC.
Active
Parent organization
PRODIGY HEALTHCARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRODIGY HEALTHCARE, INC.
Authorized official
MR. JAGDIP DHANDA (CEO)
(559) 892-9452
Entity
Organization
Contact information
Practice address
701 E WALTER AVE, (ROOMS C10 AND C11), FOWLER, CA 93625-9792
(888) 885-5580
(888) 885-5580
Mailing address
PO BOX 820, FOWLER, CA 93625-0820
(888) 885-5580
(888) 885-5580
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
DRUG MEDI-CAL
CA
Enumeration date
02/22/2011
Last updated
06/28/2013
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