Organization
PIONEERS MEMORIAL HEALTHCARE DISTRICT
Active
Other names
Calexico Health Center RHC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL R HECKATHORNE (ASSOCIATE ADMIN FINANCE & CFO)
(760) 351-3590
Entity
Organization
Contact information
Practice address
450 E BIRCH ST, CALEXICO, CA 92231-2375
(760) 768-6262
Mailing address
207 W LEGION RD, BRAWLEY, CA 92227-7780
(760) 351-3590
(760) 351-3312
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021709
—
AZ
01
—
058607
BLUE CROSS RHC
CA
05
—
RHM18607F
—
CA
01
—
ZZZC1301Z
BLUE SHIELD RHC
CA
Enumeration date
02/08/2006
Last updated
12/28/2007
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