1003475823 NPI number — UNIVERSAL HEALTHCARE SERVICES, INC.

Table of content: JENNIFER MARIE HELFT PT, DPT (NPI 1174042733)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003475823 NPI number — UNIVERSAL HEALTHCARE SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSAL HEALTHCARE SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003475823
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/18/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8303 BRIMHALL RD BLDG 1500
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93312-2243
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-587-2468
Provider Business Mailing Address Fax Number:
661-587-6403

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10200 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAMONT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93241-1700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-587-2468
Provider Business Practice Location Address Fax Number:
661-587-6403
Provider Enumeration Date:
06/06/2019

Additional Information

Authorized Official

Authorized Official Last Name:
GARCIA
Authorized Official First Name:
MARTHA
Authorized Official Middle Name:
ISABEL
Authorized Official Title or Position:
ADMINISTRATION
Authorized Official Telephone Number:
661-587-2468

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1720282585 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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