Innercare - Blythe

LBN: Clinicas De Salud Del Pueblo, Inc
Innercare - Blythe is an health care organization with primary practice located at 1415 W Hobsonway , Blythe CA 92225-1479. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Clinicas De Salud Del Pueblo, Inc can be contacted via phone (760) 922-4981, or through Bell, Yvonne via phone (760) 344-9951.

Contact Information

Primary practice address
1415 W Hobsonway Blythe CA 92225-1479
Fax: (760) 922-4442
Website:
Authorized official contact:
Name: Bell, Yvonne MBA

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 250000024 California

Profile Details

NPI number 1124115431
LBN Legal business name Clinicas De Salud Del Pueblo, Inc
DBA Doing business as Innercare - Blythe
Authorized official Bell, Yvonne MBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Mar 7th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124115431 NPPES
California MEDICAID FHC038363F
California Other HAP03863F
California Other BCP03863F

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