Organization Name: | CLINICAS DE SALUD DEL PUEBLO, INC |
NPI Number: | 1932381605 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YVONNE BELL (CEO) |
Mailing Address: | 49 111 Highway 111 Suite 4 Coachella |
State: | CA US |
Postal Code: | 92236 |
Phone Number: | 7603449951 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2007 |
NPI Last Update Date: | 06/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | 550000613 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |