NPI Code Details Logo

NPI 1699621870

NPI 1699621870 : IMPERIAL VALLEY HEALTHCARE DISTRICT : EL CENTRO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1699621870
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    IMPERIAL VALLEY HEALTHCARE DISTRICT 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/09/2026
-----------------------------------------------------
    Last Update Date     |    03/09/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1271 ROSS AVE STE E 
-----------------------------------------------------
    City                 |    EL CENTRO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92243-4304
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    760-482-5000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1271 ROSS AVE STE E 
-----------------------------------------------------
    City                 |    EL CENTRO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92243-4304
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR PATIENT ACCOUNTING
-----------------------------------------------------
    Name                 |     CYNTHIA G RAMIREZ VELIZ 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    760-351-3341
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QF0400X
-----------------------------------------------------
    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.