| Innercare | |
|
50249 Cesar Chavez St Ste K Coachella CA 92236-1530 | |
| (760) 344-9951 | |
| Not Available |
| Full Name | Innercare |
|---|---|
| Speciality | Clinic/Center |
| Location | 50249 Cesar Chavez St Ste K, Coachella, 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 852 E Danenberg Dr. El Centro CA 92243 Ph: (760) 344-9951 | Innercare 50249 Cesar Chavez St Ste K Coachella CA 92236-1530 Ph: (760) 344-9951 |
| NPI Number | 1932381605 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 5496657082 |
|---|---|
| Medicare Enrollment ID | O20080131000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932381605 | NPI | - | NPPES |
| FHC71196F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000613 (California) | Primary |
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