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401 Picacho Road Winterhaven CA 92283 | |
(760) 572-4100 | |
(760) 572-2133 |
Full Name | |
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Speciality | Clinic/center |
Location | 401 Picacho Road, Winterhaven, California |
Authorized Official Name and Position | Cindy S Baldwin (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7605724100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1368 Yuma AZ 85366 Ph: (760) 572-4100 | 401 Picacho Road Winterhaven CA 92283 Ph: (760) 572-4100 |
NPI Number | 1750558201 |
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Provider Enumeration Date | 05/14/2008 |
Last Update Date | 04/20/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750558201 | NPI | - | NPPES |
020511 | Medicaid | AZ |