CLINICAS DE SALUD DEL PUEBLO, INC (NPI# 1932381605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932381605 |
Entity Type | Organization |
Organization Name | CLINICAS DE SALUD DEL PUEBLO, INC |
Other Organization Name | COACHELLA HEALTH CLINIC |
Practice Address |
50249 Cesar Chavez St Ste K Coachella CA 92236-1530 |
Mailing Address |
852 E Danenberg Dr. El Centro CA 92243 |
Practice Telephone | 7603449951 |
Mailing Telephone | 7603449951 |
Enumeration Date | 2007-12-04 |
Last Update Date | 2019-05-07 |
Authorized Official Name | YVONNE BELL (CEO) |
Authorized Official Telephone | 7603449951 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
550000613 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | FHC71196F | 05 |
Other Name | Type Code |
---|---|
Coachella Health Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356424212 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 1289 S Marina Dr, Suite A, Salton City, CA 92275 | 2006-10-23 |
1679654750 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 8027 Us Hwy 111, Niland, CA 92257 | 2006-10-17 |
1962599266 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 223 W Cole Rd, Calexico, CA 92231-9722 | 2006-10-06 |
1124115431 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 321 W Hobsonway, Suite C, Blythe, CA 92225-1651 | 2006-10-06 |
1487741773 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 852 E Danenberg Dr., El Centro, CA 92243 | 2006-10-06 |
1093138430 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 83791 Date Ave, Indio, CA 92201-4737 | 2014-01-21 |
1710237029 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 283 Main St, Suite 102, Brawley, CA 92227-2350 | 2012-09-13 |
1013222785 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 197 W Legion Rd, Brawley, CA 92227-7727 | 2010-08-18 |
1063684207 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 91275 66th Ave, Suite 300, Mecca, CA 92254 | 2008-03-27 |
1346313889 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 852 E Danenberg Dr., El Centro, CA 92243 | 2006-11-15 |
Street Address |
50249 CESAR CHAVEZ ST STE K |
City | COACHELLA |
State | CA |
Zip Code | 92236-1530 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679094981 | Dae Yong Kim | Internal Medicine | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2017-06-28 |
1568995371 | Catherine Maria Solares Carroll | Pediatrics | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2017-04-07 |
1861923492 | Gladys Valdez Rivera | Family Medicine | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2017-03-24 |
1831638022 | Michelle Brady | Counselor | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2017-02-21 |
1205266947 | Saifuddin Talib | Registered Nurse | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2013-11-15 |
1902112782 | Richard John Eppey II | Obstetrics & Gynecology | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2010-08-31 |
1538305883 | Jenny Mae Wheeler | Family Medicine | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2008-12-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710518915 | Phong Phan | Pharmacist | 84 010 Avenue 50, Coachella, CA 92236 | 2020-01-28 |
1518511500 | Sally Mireles | Counselor | 84109 La Jolla, Coachella, CA 92236 | 2019-07-29 |
1174185318 | Laura Castillo-dominguez | Licensed Vocational Nurse | 83113 Los Cabos Ave, Coachella, CA 92236 | 2019-07-08 |
1003390519 | Jennifer Le | Registered Nurse | 49-111 Ca-111 #6a, Coachella, CA 92236 | 2018-09-20 |
1700302502 | Latino Commission On Alcohol and Drug Abuse Services | Marriage & Family Therapist | 1612 First St., Coachella, CA 92236 | 2017-08-14 |
1467993279 | Jose Ramon Ledezma | Prosthetic/Orthotic Supplier | 84475 Goya Dr, Coachella, CA 92236 | 2017-03-13 |
1144622432 | Telecare Corporation | Psychiatric Unit | 49-708 Redondo Poniente, Coachella, CA 92236 | 2014-09-18 |
1851708762 | Juanita Ferro | Psychiatric Unit | 52371 Dos Palmas, Coachella, CA 92236 | 2014-07-14 |
1932519964 | Gloria Graham | Family Medicine | 50249 Harrison St, Coachella, CA 92236 | 2014-04-29 |
1326489121 | Alma Elizabeth Guadarrama Hernandez | Social Worker | 49211 Grapefruit Blvd Ste 5&6, Coachella, CA 92236 | 2013-07-10 |
Find all providers in zip 92236 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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.