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PRODIGY HEALTHCARE, INC.
NPI 1972800340
Clinic/Center - Rehabilitation, Substance Use Disorder in Fowler, CA

Active since February 22, 2011
701 E WALTER AVE, (ROOMS C10 AND C11), FOWLER, CA 93625(888) 885-5580(888) 885-5580 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prodigy Healthcare, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRODIGY HEALTHCARE, INC. (NPI 1972800340) is a healthcare organization registered as a rehabilitation, substance use disorder in Fowler, California and active in the NPI registry since February 2011. The organization lists Jagdip Dhanda, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972800340
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePRODIGY HEALTHCARE, INC.
Location Address701 E WALTER AVE, (ROOMS C10 AND C11)Fowler, CA 93625-9792
Mailing AddressPo Box 820Fowler, CA 93625-0820 · (888) 885-5580 · Fax (888) 885-5580
Phone(888) 885-5580
Fax(888) 885-5580
Organization SubpartYes
Authorized OfficialJagdip DhandaCeo · (559) 892-9452
Enumeration DateFebruary 22, 2011
Last NPPES UpdateJune 28, 2013
✔ NPI 1972800340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
701 E WALTER AVE, Fowler, CA 93625
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Other Identifiers 1

OtherPENDINGCA · Drug Medi-cal

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAVPREET K PANNU PPS
Counselor (School)
701 E WALTER AVE
FOWLER, CA 93625
Fresno County (559) 316-9481

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prodigy Healthcare, Inc.'s NPI number?

The NPI number for Prodigy Healthcare, Inc. is 1972800340. It was assigned to this organization in the NPPES registry on February 22, 2011.

Where is Prodigy Healthcare, Inc. located?

Prodigy Healthcare, Inc. is located at 701 E Walter Ave (rooms C10 And C11), Fowler, CA 93625. The listed phone number is (888) 885-5580.

What is Prodigy Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Prodigy Healthcare, Inc. was last updated on June 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.