Providence Service Corporation

LBN: Providence Service Corporation
Providence Service Corporation is an health care organization with primary practice located at 2215 N Broadway , Santa Ana CA 92706-2663. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Providence Service Corporation can be contacted via phone (714) 221-6400, or through Koh-Kim, Alice via phone (714) 221-6400.

Contact Information

Primary practice address
2215 N Broadway Santa Ana CA 92706-2663
Phone: (714) 221-6400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Koh-Kim, Alice
Phone: (714) 221-6400

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1851728042
LBN Legal business name Providence Service Corporation
DBA Doing business as
Authorized official Koh-Kim, Alice
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2013
Last updated Oct 2nd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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