PIONEERS MEMORIAL HEALTHCARE DISTRICT NPI 1720401607

NPI Information

PIONEERS MEMORIAL HEALTHCARE DISTRICT is a rural health clinic center in Brawley, CA. PIONEERS MEMORIAL HEALTHCARE DISTRICT NPI is 1720401607. The provider is registered as an organization entity type.
The provider Is Doing Business As Pioneers Health Center.

The provider's business location address is:

751 W LEGION RD
SUITE 103
BRAWLEY, CA
ZIP 92227-732
Phone: (760) 351-4400
Fax: (760) 351-4489

The provider's authorized official is Stephen J Campbell .
The authorized official title is Chief Operation Officer &coo and has the following contact phone number (760) 351-3550.

The CLIA number assigned to this NPI record is 05D2091604 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2014 and was last updated on 6/2/2015.

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:

Other Identifiers

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

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