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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