MEDICARE: CITY OF INDIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	590003314	OTHER	CA	RRB

General Provider Information

NPI Number	:	1013913946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF INDIO

Provider Business Mailing Address
First Line	:	PO BOX 2066
Second Line	:
City	:	INDIO
State	:	CA
Zip	:	92202-2066
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	46990 JACKSON ST
Second Line	:
City	:	INDIO
State	:	CA
Zip	:	92201-6042
Country	:	US
Telephone Number	:	760-347-0756
Fax Number	:

Authorized Official
Title or Position	:	ASST CITY MANAGER/FINANCE DIRECTOT
Name	:	ROBERT ROCKWELL
Credential	:
Telephone Number	:	760-391-4029

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	03/17/2018

Similar Medicare Providers

1023908142 — RIGOBERTO C LOPEZ
Practice Location Address:

82380 MILES AVE
INDIO, CA
92201-2608

Practice Phone: 800-207-0272
Practice Fax:

1093677221 — WEA CA PC
Practice Location Address:

47915 OASIS ST
INDIO, CA
92201-6950

Practice Phone: 818-298-9444
Practice Fax: 866-811-0333

1326981622 — MISS ANESSA MARIE DUENAS I
Practice Location Address:

82380 MILES AVE
INDIO, CA
92201-2608

Practice Phone: 800-207-0272
Practice Fax:

1033114806 — AMIS PHARMACY CORPORATION
Practice Location Address:

82422 MILES AVE
INDIO, CA
92201-4250

Practice Phone: 760-347-3577
Practice Fax: 760-342-4458

1437157260 — STACEY J CLARKE D.P.M.
Practice Location Address:

82013 DOCTOR CARREON BLVD STE H
INDIO, CA
92201-5832

Practice Phone: 760-610-8398
Practice Fax: 442-300-2925

1609876549 — DESERT MEDICAL IMAGING, A MEDICAL CORPORATION
Practice Location Address:

81800 DR CARREON BLVD , STE C
INDIO, CA
92201-0608

Practice Phone: 760-863-4085
Practice Fax: 760-501-0081

Directions to “CITY OF INDIO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.