| Dap Health-san Jacinto Community Health Center | |
|
651 N State St San Jacinto CA 92583-6573 | |
| (760) 767-5051 | |
| (760) 767-4552 |
| Full Name | Dap Health-san Jacinto Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 651 N State St, San Jacinto, California |
| Authorized Official Name and Position | Judy Stith (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 7603232118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dap Health-san Jacinto Community Health Center 1695 N. Sunrise Way Palm Springs CA 92262 Ph: (760) 323-2118 | Dap Health-san Jacinto Community Health Center 651 N State St San Jacinto CA 92583-6573 Ph: (760) 767-5051 |
| NPI Number | 1598180101 |
|---|---|
| Provider Enumeration Date | 02/19/2014 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 1759299944 |
|---|---|
| Medicare Enrollment ID | O20170817004093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598180101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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