Organization
CLINICAS DE SALUD DEL PUEBLO
Active
Other names
Brawley Dental Clinic, Innercare - Brawley Dental, Innercare
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE BELL MBA (CEO)
(760) 344-9951
Entity
Organization
Contact information
Practice address
283 MAIN ST STE 102, BRAWLEY, CA 92227-2350
(760) 344-3583
(760) 344-8480
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
090000670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090000670
DHS LICENSE
CA
05
—
FHC70977F
—
CA
Enumeration date
10/25/2006
Last updated
07/31/2024
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