Provider Demographics
NPI:1811664246
Name:FIRST CHRISTIAN CHURCH OF HUNTINGTON BEACH
Entity type:Organization
Organization Name:FIRST CHRISTIAN CHURCH OF HUNTINGTON BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHITTICK
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:714-845-5389
Mailing Address - Street 1:1207 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-2720
Mailing Address - Country:US
Mailing Address - Phone:714-536-2589
Mailing Address - Fax:
Practice Address - Street 1:1207 MAIN ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-2720
Practice Address - Country:US
Practice Address - Phone:714-536-2589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution
Provider Identifiers
StateIdentifier IDID TypeIssuer
UNKNOWNOtherVARIOUS INSURANCE COMPANIES