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Contact Information

ACT HEALTHCARE SERVICES
17409 VALLEY BLVD STE 80
BLOOMINGTON, CA92316-3910
 Phone: 909-201-1735
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ACT HEALTHCARE SERVICES

NPI Number 1255191763
LBN Legal business name ACT HEALTHCARE SERVICES
Authorized official ALICE ECHETA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/21/2024
Last updated 03/21/2024 - About 2 years ago
Identifiers n/a
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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