INDEPENDENCE COMMUNITY TREATMENT CLINIC (NPI# 1699948810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699948810 |
Entity Type | Organization |
Organization Name | INDEPENDENCE COMMUNITY TREATMENT CLINIC |
Practice Address |
44701 32nd St W Lancaster High School Lancaster CA 93536-7023 |
Mailing Address |
19231 Victory Blvd Suite 554 Reseda CA 91335-6308 |
Practice Telephone | 8187761755 |
Practice Fax Number | 8187761657 |
Mailing Telephone | 8187761755 |
Mailing Fax Number | 8187761657 |
Enumeration Date | 2008-04-09 |
Last Update Date | 2008-04-09 |
Authorized Official Name | ALEX BRANZBURG (PROGRAM DIRECTOR) |
Authorized Official Telephone | 8187761755 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CMM70956F | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689811663 | Independence Community Treatment Clinic | Clinic/Center | 2127 E Avenue R, Room 804,805,807,809, Palmdale, CA 93550-5415 | 2009-01-14 |
1134366115 | Independence Community Treatment Clinic | Clinic/Center | 10833 E Avenue R, Room 118, 119, 217, Littlerock, CA 93543-4106 | 2009-01-14 |
1881839926 | Independence Community Treatment Clinic | Clinic/Center | 2270 E Avenue Q, Room 101,102,103,104,105,106, and Cafeteria, Palmdale, CA 93550-4141 | 2008-12-03 |
1508001645 | Independence Community Treatment Clinic | Clinic/Center | 228 E Avenue H8, Room 101,102,103,104,105,106, and Cafeteria, Lancaster, CA 93535-1809 | 2008-12-03 |
1417192550 | Independence Community Treatment Clinic | Clinic/Center | 6040 W Avenue L, Room423,v3, Agi, Quartz Hill, CA 93536-4501 | 2008-12-03 |
1710122866 | Independence Community Treatment Clinic | Clinic/Center | 38801 Clock Tower Plaza Dr E, Room Community Building,104,105,106,107, Palmdale, CA 93550-3346 | 2008-12-03 |
1881839033 | Independence Community Treatment Clinic | Clinic/Center | 45030 3rd St E, Room 09,10,15,16,17, Lancaster, CA 93535-2503 | 2008-12-02 |
1205081593 | Independence Community Treatment Clinic | Clinic/Center | 39055 25th St W, Room426,427,428,429,430, Palmdale, CA 93551-4164 | 2008-12-01 |
1396990685 | Independence Community Treatment Clinic | Clinic/Center | 3200 E Avenue J8, Room 101,102,103,104,121,124, Lancaster, CA 93535-5827 | 2008-12-01 |
1508039728 | Independence Community Treatment Clinic | Clinic/Center | 209 W Avenue J, Rooms E,g, H, Front Office, Lancaster, CA 93534-3656 | 2008-04-09 |
Street Address |
44701 32ND ST W LANCASTER HIGH SCHOOL |
City | LANCASTER |
State | CA |
Zip Code | 93536-7023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053921353 | Icgrit, LLC | Durable Medical Equipment & Medical Supplies | 42304 Columbia Court, Lancaster, CA 93536 | 2020-08-03 |
1346891827 | Rebecca Rozenberg | Nurse Practitioner | 7060 Hemlock Avenue, Lancaster, CA 93536 | 2019-09-25 |
1972078053 | Cherokee Hill | Social Worker | 42055 50th St. W, Quartz Hiu, CA 93536 | 2018-10-04 |
1932600954 | Alderbrook, Inc. | Skilled Nursing Facility | 2540 W Avenue K, Lancaster, CA 93536 | 2018-02-25 |
1679095244 | Maria Celeste Montebello | Registered Nurse | 335 E. Avenue I, Lancaster, CA 93536 | 2017-07-14 |
1073035994 | Letecia Bell | Registered Nurse | 6637 Lime Road, Lancaster, CA 93536 | 2017-07-12 |
1366890089 | Omolola Omishore | Physical Therapist | 43415 Hampton St, Quartz Hill, CA 93536 | 2016-06-03 |
1073976528 | May Chong Finley | Registered Nurse | 7027 W Avenue L6, Lancaster, CA 93536 | 2016-04-01 |
1043689904 | Til Lp | Skilled Nursing Facility | 2639 West Ave K4, Lancaster, CA 93536 | 2015-09-22 |
1497140222 | Oak Fence Senior Living, LLC | Skilled Nursing Facility | 6067 West Oak Fence Lane, Lancaster, CA 93536 | 2015-03-30 |
Find all providers in zip 93536 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730630427 | Antelope Valley Community Clinic | Clinic/Center | 45124 10th St W, Lancaster, CA 93534-2310 | 2016-10-18 |
1508001645 | Independence Community Treatment Clinic | Clinic/Center | 228 E Avenue H8, Room 101,102,103,104,105,106, and Cafeteria, Lancaster, CA 93535-1809 | 2008-12-03 |
1881839033 | Independence Community Treatment Clinic | Clinic/Center | 45030 3rd St E, Room 09,10,15,16,17, Lancaster, CA 93535-2503 | 2008-12-02 |
1396990685 | Independence Community Treatment Clinic | Clinic/Center | 3200 E Avenue J8, Room 101,102,103,104,121,124, Lancaster, CA 93535-5827 | 2008-12-01 |
1508039728 | Independence Community Treatment Clinic | Clinic/Center | 209 W Avenue J, Rooms E,g, H, Front Office, Lancaster, CA 93534-3656 | 2008-04-09 |
1992901078 | West County Medical Corp | Clinic/Center | 500 E Avenue K, Lancaster, CA 93535-4738 | 2007-06-25 |
1427518786 | Jwch Institute, Inc. | Clinic/Center | 45104 10th St W, Lancaster, CA 93534-2310 | 2019-03-22 |
1770711848 | Independence Community Treatment Clinic | Clinic/Center | 43520 Division St, 202, Conference Room, Lancaster, CA 93535-4089 | 2009-06-29 |
1780821769 | Independence Community Treatment Clinic | Clinic/Center | 44900 Division St, Room 240,820,730,731, Lancaster, CA 93535-2538 | 2009-01-14 |
1245456581 | Williams Apothecary | Clinic/Center | 201 E Chestnut St, Lancaster, PA 17602-2705 | 2007-04-17 |
Find all providers in LANCASTER |
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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.