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NPI Code Detail

MEDICARE: CLINICAS DE SALUD DEL PUEBLO INC

MEDICARE: CLINICAS DE SALUD DEL PUEBLO INC
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
1261QF0400XFederally Qualified Health Center (FQHC)550000089CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932280633
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINICAS DE SALUD DEL PUEBLO INC
Provider Business Mailing Address
First Line : 852 E DANENBERG DR.
Second Line :
City : EL CENTRO
State : CA
Zip : 92243
Country : US
Telephone Number : 760-344-9951
Fax Number : 760-344-5840
Provider Business Practice Location Address
First Line : 91275 66TH AVE
Second Line : SUITE 500
City : MECCA
State : CA
Zip : 92254
Country : US
Telephone Number : 760-396-0521
Fax Number : 760-396-0529
Authorized Official
Title or Position : CEO
Name : YVONNE BELL
Credential : MBA
Telephone Number : 760-344-9951
Provider Enumeration Date : 10/18/2006
Last Update Date : 02/18/2022

Similar Medicare Providers

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Practice Location Address:
91275 66TH AVE. , SUITE 300
MECCA, CA
92254
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Practice Fax: 760-396-1253
1144318734 — DR. JAVIER HERNANDEZ M.D.
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1023188687 — CLINICAS DE SALUD DEL PUEBLO, INC
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MECCA, CA
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Practice Fax: 760-396-1253
1336210061 — DR. VANCE LAIDLAW FLETCHER M.D.
Practice Location Address:
91275 66TH AVE
MECCA, CA
92254-1251
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Practice Location Address:
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92254
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1275690653 — MANIKA PANDEY MD
Practice Location Address:
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Directions to “CLINICAS DE SALUD DEL PUEBLO INC ” Practice Location

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