| Clinicas De Salud Del Pueblo, Inc | |
|
8027 Us Hwy 111 Niland CA 92257 | |
| (760) 359-0110 | |
| (760) 359-3629 |
| Full Name | Clinicas De Salud Del Pueblo, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8027 Us Hwy 111, Niland, 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 |
|---|---|
| Clinicas De Salud Del Pueblo, Inc 852 E Danenberg Dr El Centro CA 92243 Ph: (760) 344-9951 | Clinicas De Salud Del Pueblo, Inc 8027 Us Hwy 111 Niland CA 92257 Ph: (760) 359-0110 |
| NPI Number | 1679654750 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 5496657082 |
|---|---|
| Medicare Enrollment ID | O20040123000573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679654750 | NPI | - | NPPES |
| HAP70526F | Other | CA | FAMILY PACT |
| BCP70526F | Other | CA | CANCE DETECTION PROGRAM |
| FHC70526F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 090000456 (California) | Primary |