Organization
DHHS PHS IHS PHOENIX AREA
Active
Other names
Ft Yuma Indian Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S BALDWIN (CHIEF EXECUTIVE OFFICER)
(760) 572-4100
Entity
Organization
Contact information
Practice address
401 PICACHO ROAD, WINTERHAVEN, CA 92283
(760) 572-4100
(760) 572-2133
Mailing address
PO BOX 1368, YUMA, AZ 85366
(760) 572-4100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
122300000X
Dentist
—
—
133N00000X
Nutritionist
—
—
146N00000X
Basic Emergency Medical Technician
—
—
152W00000X
Optometrist
—
—
163W00000X
Registered Nurse
—
—
183500000X
Pharmacist
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
231H00000X
Audiologist
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
261Q00000X
Clinic/Center
Primary
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020511
—
AZ
Enumeration date
05/14/2008
Last updated
04/20/2018
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