PRODIGY HEALTHCARE, INC.; NPI #1245537612

Contact Information

PRODIGY HEALTHCARE, INC.

975 EAST ADAMS AVENUE
(ROOMS 1-5,OFFICES 1-3)
FOWLER, CA 93625

Phone: 888-885-5580
Fax: 888-885-5580
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for PRODIGY HEALTHCARE, INC.

NPI Number 1245537612

LBN Legal business name PRODIGY HEALTHCARE, INC.

Authorized official JAGDIP DHANDA - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 02/22/2011

Last updated 07/16/2013 - About 13 years ago

Identifiers

Other

PENDING

DRUG MEDI-CAL

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PRODIGY HEALTHCARE, INC.

Contact Information

Specialty

Rehabilitation, Substance Use Disorder

NPI Profile & details for PRODIGY HEALTHCARE, INC.

Reviews for PRODIGY HEALTHCARE, INC.