CLINICAS DE SALUD DEL PUEBLO INC. NPI 1124109202

NPI Information

NPI: 1124109202
Provider Name: CLINICAS DE SALUD DEL PUEBLO, INC.

Doing Business As: WINTERHAVEN HEALTH CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2133 WINTERHAVEN DRIVE
WINTERHAVEN, CA
ZIP 92283
Phone: (760) 572-2700
Get Directions

CLINICAS DE SALUD DEL PUEBLO, INC. is a federally qualified health center (fqhc) clinic center in Winterhaven, CA. CLINICAS DE SALUD DEL PUEBLO, INC. NPI is 1124109202. The provider is registered as an organization entity type.
The provider Is Doing Business As Winterhaven Health Clinic.

The provider's business location address is:

2133 WINTERHAVEN DRIVE
WINTERHAVEN, CA
ZIP 92283
Phone: (760) 572-2700
Fax: (760) 572-2255

The provider's authorized official is Yvonne Bell .
The authorized official title is Ceo and has the following contact phone number (760) 344-9951.

The CLIA number assigned to this NPI record is 05D1013544 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 2/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	090000594	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HAP70749F	OTHER	CALIFORNIA	FAMILY PACT
2	FHC70749F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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