| Winterhaven Health Clinic | |
|
2133 Winterhaven Drive Winterhaven CA 92283 | |
| (760) 572-2700 | |
| (760) 572-2255 |
| Full Name | Winterhaven Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2133 Winterhaven Drive, Winterhaven, 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 |
|---|---|
| Winterhaven Health Clinic 852 E Danenberg Dr. El Centro CA 92243 Ph: (760) 344-9951 | Winterhaven Health Clinic 2133 Winterhaven Drive Winterhaven CA 92283 Ph: (760) 572-2700 |
| NPI Number | 1124109202 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 5496657082 |
|---|---|
| Medicare Enrollment ID | O20040123000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124109202 | NPI | - | NPPES |
| FHC70749F | Medicaid | CA | |
| HAP70749F | Other | CA | FAMILY PACT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 090000594 (California) | Primary |
Ft Yuma Indian Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Picacho Road, Winterhaven, CA 92283 Phone: 760-572-4100 Fax: 760-572-2133 |