Organization
EL CENTRO REGIONAL MEDICAL CENTER
Active
Other names
El Centro Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TISHA IRENE BENAVIDEZ (PATIENT FINANCIAL SERVICES DIRECTOR)
(760) 482-5334
Entity
Organization
Contact information
Practice address
1415 W ROSS AVE, EL CENTRO, CA 92243
(760) 339-7495
(760) 352-7612
Mailing address
1415 W ROSS AVE, EL CENTRO, CA 92243
(760) 339-7495
(760) 352-7612
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050045
BLUE CROSS
—
05
—
ZZT30045F
—
CA
05
—
ZZT40045F
—
CA
01
—
ZZZC1303Z
BLUE SHIELD
—
Enumeration date
08/02/2006
Last updated
02/07/2019
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