| Innercare - Mecca | |
|
91275 66th Ave Suite 500 Mecca CA 92254 | |
| (760) 396-1249 | |
| (760) 396-1253 |
| Full Name | Innercare - Mecca |
|---|---|
| Speciality | Clinic/Center |
| Location | 91275 66th Ave, Mecca, 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 - Mecca 852 E Danenberg Dr. El Centro CA 92243 Ph: (760) 344-9951 | Innercare - Mecca 91275 66th Ave Suite 500 Mecca CA 92254 Ph: (760) 396-1249 |
| NPI Number | 1023188687 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 5496657082 |
|---|---|
| Medicare Enrollment ID | O20040123000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023188687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 250000612 (California) | Primary |
Innercare - Mecca Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 91275 66th Ave, Suite 300, Mecca, CA 92254 Phone: 760-396-0521 | |
Mecca Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 91275 66th Ave., Suite 300, Mecca, CA 92254 Phone: 760-396-1249 Fax: 760-396-1253 | |
Innercare - Mecca Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 91275 66th Ave, Suite 500, Mecca, CA 92254 Phone: 760-396-0521 Fax: 760-396-0529 |