CLINICAS DE SALUD DEL PUEBLO, INC (NPI# 1124115431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124115431 |
| Entity Type | Organization |
| Organization Name | CLINICAS DE SALUD DEL PUEBLO, INC |
| Other Organization Name | BLYTHE HEALTH CLINIC |
| Practice Address |
321 W Hobsonway Suite C Blythe CA 92225-1651 |
| Mailing Address |
852 E Danenberg Dr El Centro CA 92243 |
| Practice Telephone | 7609224981 |
| Practice Fax Number | 7609224442 |
| Mailing Telephone | 7603449951 |
| Mailing Fax Number | 7603445840 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | YVONNE BELL (CEO) |
| Authorized Official Telephone | 7603449951 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
250000024 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FAMILY PACT | HAP03863F | 01 |
| CA | FHC038363F | 05 | |
| CA | CANCER DETECTION PROGRAM | BCP03863F | 01 |
| Other Name | Type Code |
|---|---|
| Blythe Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932381605 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2007-12-04 |
| 1356424212 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 1289 S Marina Dr, Suite A, Salton City, CA 92275 | 2006-10-23 |
| 1679654750 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 8027 Us Hwy 111, Niland, CA 92257 | 2006-10-17 |
| 1962599266 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 223 W Cole Rd, Calexico, CA 92231-9722 | 2006-10-06 |
| 1487741773 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 852 E Danenberg Dr., El Centro, CA 92243 | 2006-10-06 |
| 1093138430 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 83791 Date Ave, Indio, CA 92201-4737 | 2014-01-21 |
| 1710237029 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 283 Main St, Suite 102, Brawley, CA 92227-2350 | 2012-09-13 |
| 1013222785 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 197 W Legion Rd, Brawley, CA 92227-7727 | 2010-08-18 |
| 1063684207 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 91275 66th Ave, Suite 300, Mecca, CA 92254 | 2008-03-27 |
| 1346313889 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 852 E Danenberg Dr., El Centro, CA 92243 | 2006-11-15 |
| Street Address |
321 W HOBSONWAY SUITE C |
| City | BLYTHE |
| State | CA |
| Zip Code | 92225-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497131320 | Kristin Glaubke | Nurse Practitioner | 321 W Hobsonway, Blythe, CA 92225-1651 | 2015-08-03 |
| 1477610855 | Marietta C Holt | Nurse Practitioner | 321 W Hobsonway, C, Blythe, CA 92225-1651 | 2007-01-03 |
| 1871650259 | Lynn Brunet | Physician Assistant | 321 W Hobsonway, Suite C, Blythe, CA 92225-1651 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976179 | Corrections and Rehabilitation | Pharmacy | 19005 Wileys Well Road, Blythe, CA 92225 | 2020-03-12 |
| 1467943811 | County of Riverside | Community/Behavioral Health | 249 N Spring St, Blythe, CA 92225 | 2018-05-22 |
| 1760890982 | Keith Hoyt Wells I | Pharmacist | 616 E. Hobson Way, Blythe, CA 92225 | 2014-07-31 |
| 1447673967 | Silvia Herrera | Nurse Practitioner | 332 W Hobson Way, Blythe, CA 92225 | 2014-02-04 |
| 1821262767 | Marvin Paul Vernon | Social Worker | 246 N Hobson Way, Blythe, CA 92225 | 2008-04-22 |
| 1083882492 | Blythe Eye Care Medical Group | Optometrist | 600 E Hobson Way, Blythe, CA 92225 | 2008-02-19 |
| 1215159553 | Douglas John Meyer | Physical Therapist | 205 N. First Street, Suite E, Blythe, CA 92225 | 2007-05-03 |
| 1598895955 | Emmanuel R Mofu | Family Medicine | 495 North Main Street, Blythe, CA 92225 | 2007-03-06 |
| 1154408961 | Sheereen Ahranjani | Social Worker | 1297 W. Hobsonway, Blythe, CA 92225 | 2006-11-01 |
| 1326123399 | Salud | Family Medicine | 176 S Palm Drive, Blythe, CA 92225 | 2006-10-26 |
| Find all providers in zip 92225 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.