Organization
COUNTY OF IMPERIAL
Active
Organization
COUNTY OF IMPERIAL
Active
Other names
Imperial County Public Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN HODGKIN (PUBLIC HEALTH DIRECTOR)
(760) 482-4438
Entity
Organization
Contact information
Practice address
935 BROADWAY ST, EL CENTRO, CA 92243-2349
(760) 482-4438
(760) 352-7747
Mailing address
935 BROADWAY ST, EL CENTRO, CA 92243-2349
(760) 482-4438
(760) 352-7747
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH05095
CHDP - LEAD PROGRAM
CA
01
—
LAB70166F
LABORATORY MEDI-CAL #
CA
01
—
ZZT11820F
CHDP PROVIDER NUMBER
CA
Enumeration date
07/15/2006
Last updated
08/22/2020
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