Organization
PIONEERS MEMORIAL HEALTHCARE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLY LOPER (CHIEF FINANCIAL OFFICER)
(760) 351-3594
Entity
Organization
Contact information
Practice address
207 W LEGION RD, BRAWLEY, CA 92227-7780
(760) 351-3590
(760) 351-3312
Mailing address
207 W LEGION RD, BRAWLEY, CA 92227-7780
(760) 351-3590
(760) 351-3312
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
CA
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021709
—
AZ
05
—
039487
—
OR
01
—
050342
BLUE CROSS
—
01
—
050342B000000
CMS 1011 PROGRAM
CA
05
—
131561105
—
AK
05
—
1509782
—
NY
05
—
1716235
—
TX
01
—
201112200
US DEPT OF LABOR
—
05
—
3161908
—
WA
05
—
4105270
—
MT
05
—
A6816
—
NM
01
—
CP3327
MEDICARE RAILROAD
CA
05
—
ZZT30342F
—
CA
05
—
ZZT40342F
—
CA
01
—
ZZZC1301Z
BLUE SHIELD
—
Enumeration date
06/21/2005
Last updated
08/04/2025
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