Provider Demographics
NPI:1275364861
Name:BAKERSFIELD RESCUE MISSION
Entity type:Organization
Organization Name:BAKERSFIELD RESCUE MISSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-325-0863
Mailing Address - Street 1:821 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93305-5242
Mailing Address - Country:US
Mailing Address - Phone:613-250-8636
Mailing Address - Fax:661-325-0777
Practice Address - Street 1:821 E 21ST ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-5242
Practice Address - Country:US
Practice Address - Phone:613-250-8636
Practice Address - Fax:661-325-0777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable