Organization
CLINICAS DE SALUD DEL PUEBLO, INC.
Active
Other names
Innercare - Brawley, Innercare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVONNE BELL (CEO)
(760) 344-9951
Entity
Organization
Contact information
Practice address
900 MAIN ST, BRAWLEY, CA 92227-2630
(760) 344-6471
(760) 344-8410
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
090000030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP03830F
—
CA
05
—
EAP03830F
—
CA
05
—
FHC03830F
—
CA
05
—
HAP03830F
—
CA
Enumeration date
10/20/2005
Last updated
02/18/2022
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