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1289 S Marina Dr Suite A Salton City CA 92275 | |
(760) 394-4338 | |
(760) 394-4339 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1289 S Marina Dr, Salton City, 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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852 E Danenberg Dr. El Centro CA 92243 Ph: (760) 344-9951 | 1289 S Marina Dr Suite A Salton City CA 92275 Ph: (760) 394-4338 |
NPI Number | 1356424212 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 02/18/2022 |
Medicare PECOS PAC ID | 5496657082 |
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Medicare Enrollment ID | O20071012000547 |
Identifier | Type | State | Issuer |
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1356424212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |