IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES (NPI# 1881882314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881882314 |
| Entity Type | Organization |
| Organization Name | IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | DESERT VALLEY HIGH SCHOOL |
| Practice Address |
104 Magnolia St Brawley CA 92227-1583 |
| Practice Telephone | 7604824000 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2013-12-11 |
| Authorized Official Name | MICHAEL HORN (DIRECTOR) |
| Authorized Official Telephone | 7604824000 |
| Is Organization Subpart | Y |
| Parent Organization Name | IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Desert Valley High School | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745757 | Imperial County Behavioral Health Services | Clinic/Center | 23 East 3rd Street, Calexico, CA 92231 | 2020-03-13 |
| 1679126247 | Imperial County Behavioral Health Services | Rehabilitation, Substance Use Disorder Unit | 101 Hacienda Dr, Calexico, CA 92231-1889 | 2019-07-22 |
| 1568920569 | Imperial County Behavioral Health Services | Clinic/Center | 101 Hacienda Dr Ste A, Calexico, CA 92231-1889 | 2019-03-08 |
| 1053896241 | Imperial County Behavioral Health Services | Clinic/Center | 1209 Van Buren Ave., Ste 1, Thermal, CA 92274-8800 | 2018-10-03 |
| 1669969846 | Imperial County Behavioral Health Services | Clinic/Center | 480 N Imperial Ave Rm 95, Brawley, CA 92227-1625 | 2018-04-13 |
| 1003313537 | Imperial County Behavioral Health Services | Clinic/Center | 1014 W Brighton Ave, El Centro, CA 92243-3111 | 2018-04-11 |
| 1497275291 | Imperial County Behavioral Health Services | Clinic/Center | 2001 Ocotillo Dr Rm R38, El Centro, CA 92243 | 2017-06-22 |
| 1033652078 | Imperial County Behavioral Health Services | Clinic/Center | 1501 West Imperial Avenue, Calexico, CA 92231-1851 | 2016-11-23 |
| 1821455395 | Imperial County Behavioral Health Services | Clinic/Center | 195 S. 9th St., Brawley, CA 92227-9762 | 2016-01-28 |
| 1023474905 | Imperial County Behavioral Health Services | Clinic/Center | 313 Waterman Ave, El Centro, CA 92243-2215 | 2016-01-08 |
| Street Address |
104 MAGNOLIA ST |
| City | BRAWLEY |
| State | CA |
| Zip Code | 92227-1583 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073701504 | Imperial County Behavioral Health Services | Clinic/Center | 385 D St Rm 30, Brawley, CA 92227 | 2007-10-10 |
| 1265620785 | Imperial County Behavioral Health Services | Clinic/Center | 480 N Imperial Ave, Brawley, CA 92227-1625 | 2007-10-10 |
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| 1518573526 | A Ka Center, LLC | Clinic/Center | 4715 Divine Way, La Mesa, CA 91941-6832 | 2020-09-16 |
| 1821602186 | New Bridge Foundation, Inc. | Clinic/Center | 1777 Leroy Avenue, Berkeley, CA 94709-1156 | 2020-09-03 |
| 1942814793 | Ola Wellness Retreat, LLC | Clinic/Center | 26926 Pacific Coast Hwy, Malibu, CA 90265-4358 | 2020-08-31 |
| 1336752963 | Ola Wellness Retreat, LLC | Clinic/Center | 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 | 2020-08-24 |
| 1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
| 1255941597 | Pathways Recovery | Clinic/Center | 4904 Hollycrest Way, Fair Oaks, CA 95628-5114 | 2020-08-02 |
| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.