Imperial Valley Rural Health Clinic | |
290 Main St Brawley CA 92227-2351 | |
(442) 456-6346 | |
(877) 550-2018 |
Full Name | Imperial Valley Rural Health Clinic |
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Speciality | Clinic/Center |
Location | 290 Main St, Brawley, California |
Authorized Official Name and Position | Esmeralda Diaz (PRESIDENT) |
Authorized Official Contact | 4422833494 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Imperial Valley Rural Health Clinic 290 Main St Brawley CA 92227-2351 Ph: (760) 550-1510 | Imperial Valley Rural Health Clinic 290 Main St Brawley CA 92227-2351 Ph: (442) 456-6346 |
NPI Number | 1912662883 |
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Provider Enumeration Date | 11/04/2021 |
Last Update Date | 03/13/2023 |
Medicare PECOS PAC ID | 4082971734 |
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Medicare Enrollment ID | O20220818002856 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912662883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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