| Innercare - Blythe | |
|
1415 W Hobsonway Blythe CA 92225-1479 | |
| (760) 922-4981 | |
| (760) 922-4442 |
| Full Name | Innercare - Blythe |
|---|---|
| Speciality | Clinic/Center |
| Location | 1415 W Hobsonway, Blythe, 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 |
|---|---|
| Innercare - Blythe 852 E Danenberg Dr El Centro CA 92243 Ph: (760) 344-9951 | Innercare - Blythe 1415 W Hobsonway Blythe CA 92225-1479 Ph: (760) 922-4981 |
| NPI Number | 1124115431 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 03/07/2024 |
| Medicare PECOS PAC ID | 5496657082 |
|---|---|
| Medicare Enrollment ID | O20040123000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124115431 | NPI | - | NPPES |
| FHC038363F | Medicaid | CA | |
| HAP03863F | Other | CA | FAMILY PACT |
| BCP03863F | Other | CA | CANCER DETECTION PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 250000024 (California) | Primary |
Desert View Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 N 1st St Ste A, Blythe, CA 92225 Phone: 760-921-3474 Fax: 760-921-3471 | |
Leonel L Rodriguez Md A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 N 1st St Ste C, Blythe, CA 92225 Phone: 760-922-8330 Fax: 760-922-8320 | |
Sac Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N Broadway, Blythe, CA 92225 Phone: 909-382-7100 | |
St Joan Of Arc Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 S Palm Drive, Blythe, CA 92225 Phone: 760-922-1020 Fax: 760-922-1050 | |
Sac Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 322 W Hobsonway, Blythe, CA 92225 Phone: 909-382-7100 | |
Leon Peter Y. Chua, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N Broadway, Ste 17, Blythe, CA 92225 Phone: 760-922-2152 Fax: 760-922-2292 |