CCN: 551734 NPI: 1417220989 Organization

CHARTER HIGH DESERT HEALTH CARE GROUP LLC

19015 TOWN CENTER DR , SUITE 104
APPLE VALLEY, CA 923088943

Contact Information

Phone 7602471161
Enumeration Date 2012-02-14
Last Updated 2012-02-14

Taxonomies

Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 0

cbsaActualGeographicLocation 40140

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 40140

providerType 35

specialPaymentIndicator

carrierCode 01112

localityCode 62

cbsaActualGeographicLocation 40140

providerType 35

specialPaymentIndicator

carrierCode 01112

localityCode 62

cbsaActualGeographicLocation 40140

providerType 35

specialPaymentIndicator

carrierCode 01112

localityCode 62