| Palomar Health Center For Behavioral Health - Pmc Poway | |
|
15615 Pomerado Road Poway CA 92064 | |
| (858) 613-4000 | |
| (760) 480-7966 |
| Full Name | Palomar Health Center For Behavioral Health - Pmc Poway |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 15615 Pomerado Road, Poway, California |
| Authorized Official Name and Position | Diane Hansen (PRESIDENT AND CEO) |
| Authorized Official Contact | 7607406385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palomar Health Center For Behavioral Health - Pmc Poway 2125 Citracado Pkwy Ste 300 Escondido CA 92029-4159 Ph: () - | Palomar Health Center For Behavioral Health - Pmc Poway 15615 Pomerado Road Poway CA 92064 Ph: (858) 613-4000 |
| NPI Number | 1669442059 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 03/09/2021 |
| Certification Date | 03/09/2021 |
| Medicare PECOS PAC ID | 0840325767 |
|---|---|
| Medicare Enrollment ID | O20120712000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669442059 | NPI | - | NPPES |
| HSM30636F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 080000127 (California) | Secondary |
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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