PIONEERS MEMORIAL HEALTHCARE DISTRICT (NPI# 1720401607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720401607 |
Entity Type | Organization |
Organization Name | PIONEERS MEMORIAL HEALTHCARE DISTRICT |
Other Organization Name | PIONEERS HEALTH CENTER |
Practice Address |
751 W Legion Rd Suite 103 Brawley CA 92227-7732 |
Mailing Address |
207 W Legion Rd Brawley CA 92227-7780 |
Practice Telephone | 7603514400 |
Practice Fax Number | 7603514489 |
Mailing Telephone | 7603513350 |
Mailing Fax Number | 7603513315 |
Enumeration Date | 2014-01-28 |
Last Update Date | 2015-06-02 |
Authorized Official Name | MR. STEPHEN J CAMPBELL (CHIEF OPERATION OFFICER &COO) |
Authorized Official Telephone | 7603513550 |
Is Organization Subpart | Y |
Parent Organization Name | PIONEERS MEMORIAL HEALTHCARE DISTRICT |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Pioneers Health Center | Doing Business As Name - Organization |
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 |
1073519443 | Pioneers Memorial Healthcare District | General Acute Care Hospital | 207 W Legion Rd, Brawley, CA 92227-7780 | 2005-06-21 |
1760995625 | Pioneers Memorial Healthcare District | General Acute Care Hospital | 565 Main St, Brawley, CA 92227-2423 | 2017-11-14 |
Street Address |
751 W LEGION RD SUITE 103 |
City | BRAWLEY |
State | CA |
Zip Code | 92227-7732 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720074313 | George Carr Fareed | Specialist | 751 W Legion Rd, Suite 105, Brawley, CA 92227-7754 | 2005-09-20 |
1326693540 | Barnes Orthopedic National Enterprises of California, PC | Orthopaedic Surgery | 751 W Legion Rd, Brawley, CA 92227-7732 | 2019-08-05 |
1386143147 | Valley Sunshine Medical Associates Inc | Urology | 751 W Legion Rd, Brawley, CA 92227-7732 | 2018-02-07 |
1073051223 | Lwbba Grissell Chait Llamas Md Inc | Pediatrics | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7732 | 2017-02-08 |
1750748406 | Ravi Raj Singh Md Inc | Psychiatry & Neurology | 751 W Legion Rd, Bldg 2 Suite 300, Brawley, CA 92227-7732 | 2016-01-26 |
1821462912 | J R Vemulapalli Md Inc | Urology | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7732 | 2015-11-30 |
1992175004 | Mercy Diana Valenzuela | Midwife | 751 W Legion Rd, Brawley, CA 92227-7732 | 2015-10-01 |
1811386329 | Rogelio Fimbres | Nurse Practitioner | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7732 | 2015-01-21 |
1629409016 | Inpatient Care of Southern California Inc | Hospitalist | 751 W Legion Rd, 105, Brawley, CA 92227-7732 | 2013-12-10 |
1134567530 | Lwbba Grissell Chait Llamas | Pediatrics | 751 W Legion Rd, Suite 103, Brawley, CA 92227-7732 | 2013-06-06 |
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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 | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245761683 | Clinic of The Valley Inc | Clinic/Center | 195 W Legion Rd, Brawley, CA 92227-7714 | 2017-03-27 |
1508295502 | Imperial Valley Family Care Medical Group, Apc | Clinic/Center | 608 G St, Suite 1a, Brawley, CA 92227-2568 | 2013-11-11 |
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1922614197 | Sierra View Local Health Care District | Clinic/Center | 9520 Road 238, Terra Bella, CA 93270 | 2020-09-22 |
1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
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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.