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852 E Danenberg Dr. El Centro CA 92243 | |
(760) 352-2257 | |
(760) 352-4579 |
Full Name | |
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Speciality | Clinic/Center |
Location | 852 E Danenberg Dr., El Centro, 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 |
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852 E Danenberg Dr. El Centro CA 92243 Ph: (760) 352-2257 | 852 E Danenberg Dr. El Centro CA 92243 Ph: (760) 352-2257 |
NPI Number | 1487741773 |
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Provider Enumeration Date | 10/06/2006 |
Last Update Date | 02/18/2022 |
Medicare PECOS PAC ID | 5496657082 |
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Medicare Enrollment ID | O20040123000578 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487741773 | NPI | - | NPPES |
BCP70606F | Other | CA | CANCER DETECTION PROGRAM |
HAP70606F | Other | CA | HAP FAMILY PACT |
FHC70606F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 090000485 (California) | Primary |
Imperial County Physicians Medical Group Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1503 N Imperial Ave Ste 105a, El Centro, CA 92243 Phone: 760-290-4297 | |
Imperial County Public Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 935 Broadway Ave, El Centro, CA 92243 Phone: 442-265-1444 Fax: 760-352-9933 | |
Legacy Md Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1699 N Imperial Ave, El Centro, CA 92243 Phone: 760-550-1685 Fax: 888-631-5150 | |
Easyaccess Care Ipa, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 S Imperial Ave, El Centro, CA 92243 Phone: 760-352-2551 Fax: 760-352-3022 | |
Ceja & Singh A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2061 Ross Ave Ste B, El Centro, CA 92243 Phone: 603-525-8007 | |