Organization
JWCH INSTITUTE, INC.
Active
Organization
JWCH INSTITUTE, INC.
Active
Other names
Bell Gardens Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVARO P. BALLESTEROS (CHIEF EXECUTIVE OFFICER)
(323) 201-4516
Entity
Organization
Contact information
Practice address
6912 AJAX AVE, BELL GARDENS, CA 90201-4057
(323) 562-5813
(323) 326-1146
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
(323) 215-0170
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC71083F
—
CA
Enumeration date
10/03/2006
Last updated
02/01/2022
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