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55497 Van Buren Street Coachella CA 92236 | |
(760) 399-4526 | |
(760) 262-6195 |
Full Name | |
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Speciality | Clinic/Center |
Location | 55497 Van Buren Street, Coachella, 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 |
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1695 N. Sunrise Way Palm Springs CA 92262 Ph: (760) 323-2118 | 55497 Van Buren Street Coachella CA 92236 Ph: (760) 399-4526 |
NPI Number | 1730249947 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 03/07/2024 |
Medicare PECOS PAC ID | 6002989522 |
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Medicare Enrollment ID | O20240411002788 |
Identifier | Type | State | Issuer |
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1730249947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (California) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Clinica Coachella, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51544 Cesar Chavez St Ste 1d, Coachella, CA 92236 Phone: 760-861-1436 Fax: 760-289-6203 | |
Planned Parenthood Of The Pacific Southwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 49-111 Highway 111, Unit 6 Ste B, Coachella, CA 92236 Phone: 760-398-0057 | |
Paredes Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 49201 Grapefruit Blvd Ste 3, Coachella, CA 92236 Phone: 760-514-2269 | |
Santa Rosa Del Valle Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1293 6th St, Coachella, CA 92236 Phone: 760-391-5151 Fax: 760-391-5159 | |
Santa Rosa Del Valle Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1293 6th St, Coachella, CA 92236 Phone: 760-391-5151 Fax: 760-391-5159 |