Organization
CLINICAS DE SALUD DEL PUEBLO, INC
Active
Other names
Innercare - Blythe, Innercare
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE BELL MBA (CEO)
(760) 344-9951
Entity
Organization
Contact information
Practice address
1415 W HOBSONWAY, BLYTHE, CA 92225-1479
(760) 922-4981
(760) 922-4442
Mailing address
852 E DANENBERG DR, EL CENTRO, CA 92243
(760) 344-9951
(760) 344-5840
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
250000024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP03863F
CANCER DETECTION PROGRAM
CA
05
—
FHC038363F
—
CA
01
—
HAP03863F
FAMILY PACT
CA
Enumeration date
10/06/2006
Last updated
03/07/2024
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