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JWCH INSTITUTE INC NPI 1306029574


NPI Information

NPI: 1306029574
Provider Name: JWCH INSTITUTE, INC

Doing Business As: BELL GARDENS COMMUNITY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
6912 AJAX AVE
BELL GARDENS, CA
ZIP 90201
Phone: (323) 562-5813
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JWCH INSTITUTE, INC is a federally qualified health center (fqhc) clinic center in Bell Gardens, CA. JWCH INSTITUTE, INC NPI is 1306029574. The provider is registered as an organization entity type.
The provider Is Doing Business As Bell Gardens Community Health Center.

The provider's business location address is:

6912 AJAX AVE
BELL GARDENS, CA
ZIP 90201-057
Phone: (323) 562-5813
Fax: (323) 326-1146

The provider's authorized official is Alvaro P. Ballesteros .
The authorized official title is Chief Executive Officer and has the following contact phone number (213) 484-1186.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 10/16/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)550000019CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CMM71083FMEDICAIDCALIFORNIA

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: 4/28/2024

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