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General NPI Number Information
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NPI Number | 1437122769
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Entity Type | Organization
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Legal Business Name | PIONEERS MEMORIAL HEALTHCARE DISTRICT
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 450 E BIRCH ST
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City | CALEXICO
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State | CA
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Zip | 92231-2375
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Country | US
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Telephone | 760-768-6262
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Fax |
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Provider Business Mailing Address
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Address Line | 207 W LEGION RD
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City | BRAWLEY
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State | CA
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Zip | 92227-7780
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Country | US
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Telephone | 760-351-3590
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Fax | 760-351-3312
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Authorized Official
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Title or Position | ASSOCIATE ADMIN FINANCE & CFO
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Name | MR. DANIEL R HECKATHORNE
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Credential |
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Telephone | 760-351-3590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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