Provider Demographics
NPI:1093294696
Name:SUPERIOR HEALTHCARE, INC.
Entity Type:Organization
Organization Name:SUPERIOR HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-836-2226
Mailing Address - Street 1:5500 MING AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-4623
Mailing Address - Country:US
Mailing Address - Phone:661-836-2226
Mailing Address - Fax:661-836-2223
Practice Address - Street 1:5500 MING AVE STE 170
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-4623
Practice Address - Country:US
Practice Address - Phone:661-836-2226
Practice Address - Fax:661-836-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-14
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABC001OtherBLUE CROSS
CA60054OtherAETNA
CA87726OtherUNITED HEALTHCARE
94134OtherKAISER
CA62308OtherCIGNA
CABS001OtherBLUE SHIELD OF CALIFORNIA