Dhhs Phs Ihs Phoenix Area is a dental clinic (Dentist) in Winterhaven, California. The current practice location for Dhhs Phs Ihs Phoenix Area is 401 Picacho Road, Winterhaven, California. For appointments, you can reach them via phone at
(760) 572-4100. The mailing address for Dhhs Phs Ihs Phoenix Area is Po Box 1368, Yuma, Arizona and phone number is (760) 572-4100.
Dhhs Phs Ihs Phoenix Area is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1649432121. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(760) 572-4100.
Dental Care Clinic Profile
| Full Name | Dhhs Phs Ihs Phoenix Area |
|---|
| Speciality | Dentist |
|---|
| Location | 401 Picacho Road, Winterhaven, California |
|---|
| Authorized Official Name and Position | Cindy S Baldwin (CHIEF EXECUTIVE OFFICE) |
|---|
| Authorized Official Contact | 7605724100 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dhhs Phs Ihs Phoenix Area
Po Box 1368
Yuma
AZ 85366
Ph: (760) 572-4100 | Dhhs Phs Ihs Phoenix Area
401 Picacho Road
Winterhaven
CA 92283
Ph: (760) 572-4100 |
NPI Details:
| NPI Number | 1649432121 |
|---|
| Provider Enumeration Date | 06/26/2008 |
|---|
| Last Update Date | 04/20/2018 |
|---|
Medical Identifiers
Medical identifiers for Dhhs Phs Ihs Phoenix Area such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649432121 | NPI | - | NPPES |
| 020211 | Medicaid | AZ | |
| P0201800 | Other | AZ | BLUE CROSS |
| HSZ078 | Other | | MCARE GRP # |
| 092370 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
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