CENTRAL CITY COMMUNITY HEALTH CENTER INC. NPI 1972912236

NPI Information

NPI: 1972912236
Provider Name: CENTRAL CITY COMMUNITY HEALTH CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D1025008

Address:
10050 GARVEY AVE STE 111
EL MONTE, CA
ZIP 91733
Phone: (626) 652-0790
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CENTRAL CITY COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in El Monte, CA. CENTRAL CITY COMMUNITY HEALTH CENTER, INC. NPI is 1972912236. The provider is registered as an organization entity type.

The provider's business location address is:

10050 GARVEY AVE STE 111
EL MONTE, CA
ZIP 91733
Phone: (626) 652-0790
Fax: (626) 652-0799

The provider's authorized official is Maricela Mendoza .
The authorized official title is Managed Care Lead and has the following contact phone number (323) 724-0019.

The CLIA number assigned to this NPI record is 05D1025008 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2014 and was last updated on 2/11/2020.

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)			Yes

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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