| Calexico Health Center Rhc | |
|
450 E Birch St Calexico CA 92231-2375 | |
| (760) 768-6262 | |
| Not Available |
| Full Name | Calexico Health Center Rhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 450 E Birch St, Calexico, California |
| Authorized Official Name and Position | Daniel R Heckathorne (ASSOCIATE ADMIN FINANCE & CFO) |
| Authorized Official Contact | 7603513590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calexico Health Center Rhc 207 W Legion Rd Brawley CA 92227-7780 Ph: (760) 351-3590 | Calexico Health Center Rhc 450 E Birch St Calexico CA 92231-2375 Ph: (760) 768-6262 |
| NPI Number | 1437122769 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 12/28/2007 |
| Medicare PECOS PAC ID | 4082527593 |
|---|---|
| Medicare Enrollment ID | O20031111000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437122769 | NPI | - | NPPES |
| ZZZC1301Z | Other | CA | BLUE SHIELD RHC |
| 021709 | Medicaid | AZ | |
| RHM18607F | Medicaid | CA | |
| 058607 | Other | CA | BLUE CROSS RHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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