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NPI Code Detail

MEDICARE: EL CENTRO REGIONAL MEDICAL CENTER

MEDICARE: EL CENTRO REGIONAL MEDICAL CENTER
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
1282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1124584420
Entity Type Code : Organization
Provider Name (Legal Business Name) : EL CENTRO REGIONAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 1415 ROSS AVE
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-4306
Country : US
Telephone Number : 760-482-5334
Fax Number : 760-352-7612
Provider Business Practice Location Address
First Line : 1271 ROSS AVE
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-4304
Country : US
Telephone Number : 760-339-4040
Fax Number :
Authorized Official
Title or Position : PATIENT FINANCIAL SERVICES DIRECTOR
Name : TISHA IRENE BENAVIDEZ
Credential :
Telephone Number : 760-482-5334
Provider Enumeration Date : 02/12/2019
Last Update Date : 03/14/2019

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Directions to “EL CENTRO REGIONAL MEDICAL CENTER ” Practice Location

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