INDEPENDENCE COMMUNITY TREATMENT CLINIC


Address: 44701 32nd St W, Lancaster High School, Lancaster, CA 93536-7023
Phone: 8187761755

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA CMM70956F 05

Other Provider IDs and Locations

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

Office Location

Street Address 44701 32ND ST W
LANCASTER HIGH SCHOOL
City LANCASTER
State CA
Zip Code 93536-7023

Providers in the same zip code

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 Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City LANCASTER
Zip Code 93536

Improve Information

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Dataset Information

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.

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