CLINICAS DE SALUD DEL PUEBLO INC NPI 1932381605

NPI Information

NPI: 1932381605
Provider Name: CLINICAS DE SALUD DEL PUEBLO, INC

Doing Business As: INNERCARE

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
50249 CESAR CHAVEZ ST STE K
COACHELLA, CA
ZIP 92236
Phone: (760) 344-9951
Get Directions

CLINICAS DE SALUD DEL PUEBLO, INC is a federally qualified health center (fqhc) clinic center in Coachella, CA. CLINICAS DE SALUD DEL PUEBLO, INC NPI is 1932381605. The provider is registered as an organization entity type.
The provider Is Doing Business As Innercare.

The provider's business location address is:

50249 CESAR CHAVEZ ST STE K
COACHELLA, CA
ZIP 92236-530
Phone: (760) 344-9951

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 05D1075700 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2007 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)	550000613	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	FHC71196F	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: 4/28/2024

NPI Synchronization or Removal

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