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 1538262092
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 1538262092. The last update date is 2019-11-06.
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 | 1538262092 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2019-11-06 |
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 | 90000660 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the Centro De Salud De La Comunidad De San Ysidro, Inc.'s 1538262092?
The Centro De Salud De La Comunidad De San Ysidro, Inc.'s NPI (National Provider Identifier) Number is 1538262092. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Centro De Salud De La Comunidad De San Ysidro, Inc.?
The Centro De Salud De La Comunidad De San Ysidro, Inc. is situated at 1601 Precision Park Ln, in the city of San Diego, state of CA, with the zip code 921731345.
What is the Centro De Salud De La Comunidad De San Ysidro, Inc.'s area of specialization and corresponding taxonomy classification?
The Centro De Salud De La Comunidad De San Ysidro, Inc.'s specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centro De Salud De La Comunidad De San Ysidro, Inc. receive its 1538262092 assignment from the Centers for Medicare & Medicaid Services?
The Centro De Salud De La Comunidad De San Ysidro, Inc. was assigned its 1538262092 by the Centers for Medicare & Medicaid Services on 2006-09-07.
As of what date was the information regarding Centro De Salud De La Comunidad De San Ysidro, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Centro De Salud De La Comunidad De San Ysidro, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-11-06.