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Organization
COUNTY OF IMPERIAL
Active
Organization
COUNTY OF IMPERIAL
Active
Parent organization
COUNTY OF IMPERIAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF IMPERIAL
Authorized official
FRED MIRAMONTES (SHERIFF-CORONER-MARSHAL)
(442) 265-2005
Entity
Organization
Contact information
Practice address
328 APPLESTILL ROAD, EL CENTRO, CA 92243
(442) 265-2000
Mailing address
940 W. MAIN STREET, SUITE 208, EL CENTRO, CA 92243
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1311LCDOC1312LCDOC
—
CA
Enumeration date
08/15/2025
Last updated
08/15/2025
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