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General NPI Number Information
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NPI Number | 1578368478
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Entity Type | Organization
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Legal Business Name | IMPERIAL VALLEY HEALTHCARE DISTRICT
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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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 | 92231-2334
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Country | US
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Telephone | 760-768-6262
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Fax | 760-768-6290
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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 | 760-351-3341
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Fax | 760-351-3155
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | CARLY LOPER
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Credential |
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Telephone | 760-351-3594
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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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