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49869 Calhoun St Fl 1 Coachella CA 92236-9720 | |
| (855) 436-1234 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 49869 Calhoun St Fl 1, Coachella, California |
| Authorized Official Name and Position | Judy Stith (CFO) |
| Authorized Official Contact | 7609694516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1695 N Sunrise Way Palm Springs CA 92262-3701 Ph: (760) 323-2118 | 49869 Calhoun St Fl 1 Coachella CA 92236-9720 Ph: (855) 436-1234 |
| NPI Number | 1376238071 |
|---|---|
| Provider Enumeration Date | 04/07/2023 |
| Last Update Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376238071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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