| |
651 N State St San Jacinto CA 92583-6573 | |
(760) 767-5051 | |
(760) 767-4552 |
Full Name | |
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Speciality | Clinic/Center |
Location | 651 N State St, San Jacinto, California |
Authorized Official Name and Position | Judy Stith (CHIEF ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 7603232118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1695 N. Sunrise Way Palm Springs CA 92262 Ph: (760) 323-2118 | 651 N State St San Jacinto CA 92583-6573 Ph: (760) 767-5051 |
NPI Number | 1598180101 |
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Provider Enumeration Date | 02/19/2014 |
Last Update Date | 06/06/2024 |
Medicare PECOS PAC ID | 6002989522 |
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Medicare Enrollment ID | O20240606003933 |
Identifier | Type | State | Issuer |
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1598180101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
New Life Womens Health Center,a Nursing Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1695 S San Jacinto Ave, Suite N, San Jacinto, CA 92583 Phone: 951-654-8800 | |
Ramona Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 E Main St, San Jacinto, CA 92583 Phone: 951-654-9367 Fax: 951-654-0839 | |
Valley Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2325 S San Jacinto Ave, San Jacinto, CA 92583 Phone: 951-588-7692 Fax: 951-281-0416 |