institution
Prodigy Healthcare, Inc.
Substance Use Disorder Rehabilitation Clinic/Center in Firebaugh, California
NPI 1306142484

Prodigy Healthcare, Inc. is a Substance Use Disorder Rehabilitation Clinic/Center based in Fowler, CA and is specialized in Rehabilitation, Substance Use Disorder. Prodigy Healthcare, Inc. practices in Firebaugh, CA. The NPI Number for Prodigy Healthcare, Inc. is 1306142484 and holds a License No. (California).

The current practice location address for Prodigy Healthcare, Inc. is 1600 16Th St, Firebaugh, CA and can be reached out via phone at 888-885-5580 and via fax at 888-885-5580.

Location: 1600 16Th St, Firebaugh, CA, 93625-0820
institution
Provider Profile Details
NPI Number
1306142484
Provider Name
Prodigy Healthcare, Inc.
Credential
Provider Entity Type
Organization
Address
1600 16Th St, Firebaugh, CA, 93625-0820
Phone Number
888-885-5580
Fax Number
888-885-5580
Provider Enumeration Date
02/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
1600 16Th St
City
State
Zip
93622-2407
Phone Number
888-885-5580
Fax Number
888-885-5580
person
Provider Business Mailing Address Details
Address
1600 16Th St
City
State
Zip
93622-2407
Phone Number
888-885-5580
Fax Number
888-885-5580
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
(California)
Definition
Definition to come...
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