| Innercare | |
|
223 W Cole Blvd Calexico CA 92231-9722 | |
| (760) 357-2020 | |
| (760) 357-1056 |
| Full Name | Innercare |
|---|---|
| Speciality | Clinic/Center |
| Location | 223 W Cole Blvd, Calexico, California |
| Authorized Official Name and Position | Yvonne Bell (CEO) |
| Authorized Official Contact | 7603449951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innercare 852 E Danenberg Dr. El Centro CA 92243 Ph: (760) 344-9951 | Innercare 223 W Cole Blvd Calexico CA 92231-9722 Ph: (760) 357-2020 |
| NPI Number | 1962599266 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 04/05/2024 |
| Medicare PECOS PAC ID | 5496657082 |
|---|---|
| Medicare Enrollment ID | O20040123000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962599266 | NPI | - | NPPES |
| BCP70031F | Other | CA | CANCER DETECTION PROGRAM |
| HAP70031F | Other | CA | FAMILY PACT |
| FHC70031F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 090000137 (California) | Primary |
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