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91275 66th Ave Suite 500 Mecca CA 92254 | |
(760) 396-0521 | |
(760) 396-0529 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 91275 66th Ave, Mecca, California |
Authorized Official Name and Position | Yvonne Bell (CEO) |
Authorized Official Contact | 7603449951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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852 E Danenberg Dr. El Centro CA 92243 Ph: (760) 344-9951 | 91275 66th Ave Suite 500 Mecca CA 92254 Ph: (760) 396-0521 |
NPI Number | 1932280633 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 02/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932280633 | NPI | - | NPPES |
FHC70659F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000089 (California) | Primary |