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Providence Health System - Southern California
Psychiatric Hospital Unit in San Pedro, California
NPI 1154349371

Providence Health System - Southern California is a Psychiatric Hospital Unit based in Spokane, CA. Providence Health System - Southern California practices in San Pedro, CA. The NPI Number for Providence Health System - Southern California is 1154349371 and holds a License No. (California).

The current practice location address for Providence Health System - Southern California is 1300 W 7Th St, San Pedro, CA and can be reached out via phone at 310-832-3311.

Location: 1300 W 7Th St, San Pedro, CA, 99210-2335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154349371
Provider Name
Providence Health System - Southern California
Credential
Provider Entity Type
Organization
Address
1300 W 7Th St, San Pedro, CA, 99210-2335
Phone Number
310-832-3311
Fax Number
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HSM30078G 05 CA
05S078 01 CA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1300 W 7Th St
City
San Pedro
State
California
Zip
90732-3505
Phone Number
310-832-3311
Fax Number
person
Provider Business Mailing Address Details
Address
1300 W 7Th St
City
San Pedro
State
California
Zip
90732-3505
Phone Number
310-832-3311
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Psychiatric Unit
Speciality
-
Taxonomy
273R00000X
License No.
()
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
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