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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