| Morongo Basin Community Health Center-sr | |
|
6380 Split Rock Ave Ste 103 29 Palms CA 92277-2550 | |
| (760) 365-9305 | |
| (866) 732-0113 |
| Full Name | Morongo Basin Community Health Center-sr |
|---|---|
| Speciality | Clinic/Center |
| Location | 6380 Split Rock Ave Ste 103, 29 Palms, California |
| Authorized Official Name and Position | Cindy Schmall (CEO) |
| Authorized Official Contact | 7608209229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morongo Basin Community Health Center-sr 6530 La Contenta Rd Ste 100 Yucca Valley CA 92284-7313 Ph: (760) 820-9229 | Morongo Basin Community Health Center-sr 6380 Split Rock Ave Ste 103 29 Palms CA 92277-2550 Ph: (760) 365-9305 |
| NPI Number | 1518475987 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 12/09/2022 |
| Medicare PECOS PAC ID | 1254240898 |
|---|---|
| Medicare Enrollment ID | O20200311002397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518475987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Morongo Basin Community Health Center-29 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6380 Split Rock Ave Ste, 29 Palms, CA 92277 Phone: 760-365-9305 Fax: 866-732-0113 |