Provider Demographics
NPI:1326064759
Name:INDIO EMERGENCY MED GROUP INC
Entity Type:Organization
Organization Name:INDIO EMERGENCY MED GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-775-4181
Mailing Address - Street 1:PO BOX 2993
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92202-2993
Mailing Address - Country:US
Mailing Address - Phone:760-775-4181
Mailing Address - Fax:
Practice Address - Street 1:47111 MONROE ST
Practice Address - Street 2:PO DRAWER LLLL
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-6739
Practice Address - Country:US
Practice Address - Phone:760-775-4181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
05D0861436OtherCLAI
CGP159214OtherCCS
E01OtherCAL OPTIMA
ZZZ27364ZOtherBLUE SHIELD
CAGR0048820Medicaid
05D0861436OtherCLAI
ZZZ27364ZMedicare PIN