Innercare - Niland | |
8027 Us Hwy 111 Niland CA 92257 | |
(760) 359-0110 | |
(760) 359-3629 |
Full Name | Innercare - Niland |
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Speciality | Clinic/Center |
Location | 8027 Us Hwy 111, Niland, 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 |
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Innercare - Niland 852 E Danenberg Dr El Centro CA 92243 Ph: (760) 344-9951 | Innercare - Niland 8027 Us Hwy 111 Niland CA 92257 Ph: (760) 359-0110 |
NPI Number | 1679654750 |
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Provider Enumeration Date | 10/17/2006 |
Last Update Date | 02/18/2022 |
Medicare PECOS PAC ID | 5496657082 |
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Medicare Enrollment ID | O20040123000573 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679654750 | NPI | - | NPPES |
HAP70526F | Other | CA | FAMILY PACT |
BCP70526F | Other | CA | CANCE DETECTION PROGRAM |
FHC70526F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 090000456 (California) | Primary |