| Organization Name: | HI-DESERT MEMORIAL HEALTH CARE DISTRICT |
| NPI Number: | 1245333731 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT TYK (CFO) |
| Mailing Address: | 6722 White Feather Rd Joshua Tree |
| State: | CA US |
| Postal Code: | 922526605 |
| Phone Number: | 7603666436 |
| Fax Number: | 7603666364 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 10/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 240000231 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |