PIONEERS MEMORIAL HEALTHCARE DISTRICT (NPI# 1073519443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073519443 |
| Entity Type | Organization |
| Organization Name | PIONEERS MEMORIAL HEALTHCARE DISTRICT |
| Practice Address |
207 W Legion Rd Brawley CA 92227-7780 |
| Practice Telephone | 7603513590 |
| Practice Fax Number | 7603513312 |
| Mailing Telephone | 7603513590 |
| Mailing Fax Number | 7603513312 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | MR. STEPHEN JOHN CAMPBELL (CHIEF OPERATION OFFICER) |
| Authorized Official Telephone | 7603513550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | ========= | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CMS 1011 PROGRAM | 050342B000000 | 01 |
| NY | 1509782 | 05 | |
| CA | MEDICARE RAILROAD | CP3327 | 01 |
| US DEPT OF LABOR | 201112200 | 01 | |
| WA | 3161908 | 05 | |
| CA | ZZT30342F | 05 | |
| CA | ZZT40342F | 05 | |
| AZ | 021709 | 05 | |
| OR | 039487 | 05 | |
| AK | 131561105 | 05 | |
| TX | 1716235 | 05 | |
| MT | 4105270 | 05 | |
| BLUE SHIELD | ZZZC1301Z | 01 | |
| BLUE CROSS | 050342 | 01 | |
| NM | A6816 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1316074073 | Pioneers Memorial Healthcare District | Nurse Practitioner | 731 Cesar Chavez Blvd, Calexico, CA 92231-2105 | 2007-02-28 |
| 1437122769 | Pioneers Memorial Healthcare District | Clinic/Center | 450 E Birch St, Calexico, CA 92231-2375 | 2006-02-08 |
| 1760995625 | Pioneers Memorial Healthcare District | General Acute Care Hospital | 565 Main St, Brawley, CA 92227-2423 | 2017-11-14 |
| 1720401607 | Pioneers Memorial Healthcare District | Clinic/Center | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7732 | 2014-01-28 |
| Street Address |
207 W LEGION RD |
| City | BRAWLEY |
| State | CA |
| Zip Code | 92227-7780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161251 | Richard Jacoby Md Inc | Internal Medicine | 207 W Legion Rd, Brawley, CA 92227-7780 | 2019-12-19 |
| 1558908368 | Joe Anthony Gonzales Jr. | Nurse Practitioner | 207 W Legion Rd, Brawley, CA 92227-7780 | 2019-11-30 |
| 1275177370 | Natalia Babkina Md Phd Inc | Obstetrics & Gynecology | 207 W Legion Rd, Brawley, CA 92227-7780 | 2019-10-31 |
| 1497300628 | Basso-williams 11 Blade of California, PC | Orthopaedic Surgery | 207 W Legion Rd, Brawley, CA 92227-7780 | 2019-08-05 |
| 1083272025 | Laurel Crismon Popplewell | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2019-06-04 |
| 1962977561 | Michael Bux | Specialist/Technologist | 207 W Legion Rd, Brawley, CA 92227-7780 | 2018-10-10 |
| 1316446644 | Imperial Valley Hospitalist Inc | Internal Medicine | 207 W Legion Rd, Brawley, CA 92227-7780 | 2018-02-01 |
| 1457870727 | Matthew Petro | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2017-09-18 |
| 1982122560 | Thomas Lee Whitehead Jr. | Nurse Practitioner | 207 W Legion Rd, Brawley, CA 92227-7780 | 2017-09-05 |
| 1356863997 | Trang Vo | Physician Assistant | 207 W Legion Rd, Brawley, CA 92227-7780 | 2017-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548755283 | Imperial Valleyrespite, Inc. | Behavioral Analyst | 630 S. Imperial Ave., Ste. 2, Brawley, CA 92227 | 2018-06-26 |
| 1013424704 | Denise Vizcarra | Behavior Technician | 630 S Brawley Ave Ste 2, Brawley, CA 92227 | 2018-01-04 |
| 1831465178 | Marylou Cayetano Thelmo | Obstetrics & Gynecology | 1166 K Street, Brawley, CA 92227 | 2012-03-30 |
| 1396046983 | Dominga Marquez De Vera | Pharmacist | 475 West Main Street, Vons Pharmacy, Brawley, CA 92227 | 2010-11-12 |
| 1033441795 | Marshall Ray Debruler | Physician Assistant | 207 W. Legion Rd, Brawley, CA 92227 | 2010-02-05 |
| 1073758280 | Brawley Physical Therapy | Clinic/Center | 529 E Street, Brawley, CA 92227 | 2008-12-03 |
| 1609058924 | Leticia Bustamante | Nurse Practitioner | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-11-28 |
| 1073701504 | Imperial County Behavioral Health Services | Clinic/Center | 385 D St Rm 30, Brawley, CA 92227 | 2007-10-10 |
| 1013118801 | Joseph Kurt Bivens | Plastic Surgery | 751 W Legion Rd Ste 300, Brawley, CA 92227 | 2007-05-30 |
| 1083771489 | Yong Tan | Family Medicine | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-01-03 |
| Find all providers in zip 92227 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.