EISENHOWER MEDICAL CENTER (NPI# 1629384615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629384615 |
| Entity Type | Organization |
| Organization Name | EISENHOWER MEDICAL CENTER |
| Other Organization Name | EISENHOWER OCCUPATIONAL HEALTH SERVICES |
| Practice Address |
67555 E Palm Canyon Dr Suite C113 Cathedral City CA 92234-5467 |
| Mailing Address |
67555 E Palm Canyon Dr Suite C-113 Cathedral City CA 92234-5467 |
| Practice Telephone | 7603285679 |
| Practice Fax Number | 7603282191 |
| Mailing Telephone | 7603285679 |
| Mailing Fax Number | 7603282191 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | KIM MARIE ULLRICH (DIRECTOR) |
| Authorized Official Telephone | 7607701277 |
| Is Organization Subpart | Y |
| Parent Organization Name | EISENHOWER MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Eisenhower Occupational Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1538491949 | Eisenhower Medical Center | General Acute Care Hospital | 78120 Wildcat Drive, Palm Desert, CA 92211-1140 | 2010-02-10 |
| 1407007537 | Eisenhower Medical Center | Clinic/Center | 67780 E Palm Canyon Drive, Cathedral City, CA 92234-5441 | 2008-10-07 |
| 1609314095 | Eisenhower Medical Center | Clinic/Center | 67555 E Palm Canyon Dr, Suite C-112, Cathedral City, CA 92234-5467 | 2017-02-06 |
| 1912397290 | Eisenhower Medical Center | Clinic/Center | 41990 Cook St, Suite A102, Palm Desert, CA 92211-6100 | 2015-01-26 |
| 1801291539 | Eisenhower Medical Center | General Acute Care Hospital | 415 S Palm Canyon Dr, Palm Springs, CA 92262-7303 | 2014-10-23 |
| 1114364866 | Eisenhower Medical Center | Clinic/Center | 57725 29 Palms Hwy, Ste 201, Yucca Valley, CA 92284-3044 | 2013-06-03 |
| 1598008658 | Eisenhower Medical Center | General Acute Care Hospital | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2013-03-27 |
| 1710272893 | Eisenhower Medical Center | General Acute Care Hospital | 39300 Bob Hope Dr, Bannan Building, Rancho Mirage, CA 92270-3203 | 2011-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EISENHOWER MEDICAL CENTER | 39000 Bob Hope Dr Frnt, Rancho Mirage, CA 92270-3221 |
| Colorado Business Entities | EISENHOWER MEDICAL CENTER, LLC | 3318 North Lincoln, Chicago, IL 60657 |
| Street Address |
67555 E PALM CANYON DR SUITE C113 |
| City | CATHEDRAL CITY |
| State | CA |
| Zip Code | 92234-5467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669492138 | Malka Greene Alley Inc. | Durable Medical Equipment & Medical Supplies | 67555 E Palm Canyon Dr, Suite F118, Cathedral City, CA 92234-5467 | 2006-07-20 |
| 1609314095 | Eisenhower Medical Center | Clinic/Center | 67555 E Palm Canyon Dr, Suite C-112, Cathedral City, CA 92234-5467 | 2017-02-06 |
| 1861514317 | Antonio M Manriquez Jr. | Chiropractor | 67555 E Palm Canyon Dr, C-108, Cathedral City, CA 92234-5467 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559661 | Susan Lim | Pharmacist | 68018 Vista Chino, Cathedral City, CA 92234 | 2020-05-08 |
| 1306479936 | Aragon Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 33775 Wishing Well Trl # 92234, Cathedral City, CA 92234 | 2020-02-21 |
| 1770973984 | K C Loo Dds A Dental Corp | Dentist | 68487 E. Palm Canyon Dr Bldg #1, Cathedral City, CA 92234 | 2015-01-26 |
| 1124426614 | Catherine Rodriguez | Counselor | 68100 Ramon Road, Cathedral City, CA 92234 | 2014-12-15 |
| 1760889323 | Serenity Congregate Care | Skilled Nursing Facility | 31730 Avenida Del Padre, Cathedral City, CA 92234 | 2014-11-25 |
| 1043622202 | Ruben Mendez Dds A Professional Corporation | Dentist | 68100 Ramon Rd., A 4, Cathedral City, CA 92234 | 2014-05-22 |
| 1801224670 | Stepping Stones Community Church of The Desert | Voluntary or Charitable | 216 Via Genova, Cathedral City, CA 92234 | 2013-10-14 |
| 1841576337 | Cristina Rene Jester | Case Manager/Care Coordinator | 68425 Perez Road, Suite 11, Cathedral City, CA 92234 | 2011-10-27 |
| 1356649438 | Kimberly Coppage | Case Manager/Care Coordinator | 68-625 Perez Rd, 11-a, Cathedral City, CA 92234 | 2011-03-14 |
| 1376703355 | Michael Day | Chiropractor | 465 Coyote, Cathedral City, CA 92234 | 2008-06-12 |
| Find all providers in zip 92234 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
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| 1720688708 | Kings Industrial Occupational Medical Center Inc | Clinic/Center | 936 G St Ste B, Reedley, CA 93654-2627 | 2020-10-28 |
| 1467067280 | Michael Scott Weiner | Clinic/Center | 2388 Ginger Cir, Newbury Park, CA 91320-3349 | 2020-09-09 |
| 1790396547 | Oak Valley Hospital District | Clinic/Center | 250 S Oak Ave Ste A4, Oakdale, CA 95361-3572 | 2020-08-14 |
| 1013543693 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3600 Juliette Ln # Sr9-01, Santa Clara, CA 95054-1540 | 2020-03-16 |
| 1386287878 | Starlight Therapy Center Inc | Clinic/Center | 1235 Indiana Ct Ste 107, Redlands, CA 92374-4540 | 2019-10-28 |
| 1356819924 | Unete Healthcare Associates LLC | Clinic/Center | 928 S Broadway Apt 813, Los Angeles, CA 90015-4578 | 2018-11-13 |
| 1669956710 | Sacramento Occupational Medical Center | Clinic/Center | 3840 Watt Ave., Number B, Sacramento, CA 95821-2640 | 2018-09-24 |
| 1487106217 | Imperial Valley Occupational Medicine | Clinic/Center | 1850 W Main St Ste E, El Centro, CA 92243-2106 | 2016-10-27 |
| 1306205570 | Blue Oak Medical Group | Clinic/Center | 4300 Long Beach Blvd Ste 170, Long Beach, CA 90807 | 2016-02-17 |
| 1225495203 | Blue Oak Medical Group | Clinic/Center | 10832 Laurel St Ste 102, Rancho Cucamonga, CA 91730 | 2016-01-22 |
| Find all providers with the same taxonomy | ||||
| City | CATHEDRAL CITY |
| Zip Code | 92234 |
Please comment or provide details below to improve the information on EISENHOWER MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.