Centro De Salud De La Comunidad De San Ysidro, Inc. in San Diego - Federally Qualified Health Center (fqhc)
Centro De Salud De La Comunidad De San Ysidro, Inc. - NPI 1003869363
Centro De Salud De La Comunidad De San Ysidro, Inc. is a Federally Qualified Health Center (fqhc) in San Diego, California. Centro De Salud De La Comunidad De San Ysidro, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Centro De Salud De La Comunidad De San Ysidro, Inc. is 1003869363. The last update date is 2020-02-26.
Centro De Salud De La Comunidad De San Ysidro, Inc.'s current location address is 1601 Precision Park Ln, San Diego, California. You can contact this provider via phone number 6196624100 and fax number 6194287952. The mailing address for Centro De Salud De La Comunidad De San Ysidro, Inc. is 1601 Precision Park Ln, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centro De Salud De La Comunidad De San Ysidro, Inc. |
|---|---|
| Address | 1601 Precision Park Ln, San Diego, California |
| Phone Number | 6196624100 |
| Fax Number | 6194287952 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Mattson Kevin |
| Telephone Number | 6196624100 |
NPI Number Detail
| NPI Number | 1003869363 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2020-02-26 |
Provider Mailing Address Detail
| Address | 1601 Precision Park Ln |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921731345 |
| Phone Number | 6196624100 |
| Fax Number | 6194287952 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 90000218 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC70267F | CA | MEDICAL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Centro De Salud De La Comunidad De San Ysidro, Inc.?
The Centro De Salud De La Comunidad De San Ysidro, Inc. has been issued the NPI (National Provider Identifier) 1003869363 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Centro De Salud De La Comunidad De San Ysidro, Inc.'s facilities are situated?
The facilities of Centro De Salud De La Comunidad De San Ysidro, Inc. are physically located at the following address: 1601 Precision Park Ln, San Diego, CA, 921731345.
What is Centro De Salud De La Comunidad De San Ysidro, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Centro De Salud De La Comunidad De San Ysidro, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003869363 to Centro De Salud De La Comunidad De San Ysidro, Inc.?
The Centro De Salud De La Comunidad De San Ysidro, Inc. received its 1003869363 assignment from the Centers for Medicare & Medicaid Services on 2006-05-18.
When was the information pertaining to Centro De Salud De La Comunidad De San Ysidro, Inc. most recently updated or revised?
The details related to Centro De Salud De La Comunidad De San Ysidro, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-02-26.