| NPI | 1124115431 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-10-06 |
| Last Updated | 2024-03-07 |
| Authorized Official | Yvonne Bell CEO Phone: 7603449951 |
| Mailing Address | 852 E Danenberg Dr El Centro, CA 92243 United States Phone: (760) 344-9951 | Fax: (760) 344-5840 📍 View Map |
| Primary Practice Address | 1415 W Hobsonway Blythe, CA 92225-1479 United States Phone: (760) 922-4981 | Fax: (760) 922-4442 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | CA | BCP03863F | Cancer Detection Program |
| MEDICAID | CA | FHC038363F | — |
| Other (non-Medicare) | CA | HAP03863F | Family PACT |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | CA | 250000024 |
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About NPI 1124115431
Clinicas De Salud Del Pueblo, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124115431. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Blythe, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124115431?
NPI 1124115431 belongs to Clinicas De Salud Del Pueblo, Inc, a Clinic/Center, Federally Qualified Health Center (FQHC) in Blythe, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124115431 active?
The current status of NPI 1124115431 in the NPPES registry is Active. The record was last updated on 2024-03-07.
What specialty is NPI 1124115431?
NPI 1124115431 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124115431?
You can verify NPI 1124115431 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124115431?
The primary practice address on file for NPI 1124115431 is 1415 W Hobsonway, Blythe, CA 92225-1479. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124115431 issued?
NPI 1124115431 was first issued (enumerated) on 2006-10-06. The NPPES record was last updated on 2024-03-07.
Practice Location Map
Clinicas De Salud Del Pueblo, Inc is located at 1415 W Hobsonway, Blythe, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Clinicas De Salud Del Pueblo, Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124115431. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Federally Qualified Health Center (FQHC) | 250000024 | CA |