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 1922051812
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 1922051812. The last update date is 2023-03-16.
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 6194282625. 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 | 6194282625 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Mattson Kevin |
| Telephone Number | 6196624100 |
NPI Number Detail
| NPI Number | 1922051812 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2023-03-16 |
Provider Mailing Address Detail
| Address | 1601 Precision Park Ln |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921731345 |
| Phone Number | 6196624100 |
| Fax Number | 6194282625 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 90000136 |
|
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 |
|---|---|---|---|
| W5740C | CA | NORIDIAN MEDICARE PART B | |
| FHC11992H | CA | -- | |
| 551966 | CA | NGS MEDICARE PART A |
Post Comment/ Review Below
What is the Centro De Salud De La Comunidad De San Ysidro, Inc.'s 1922051812?
The Centro De Salud De La Comunidad De San Ysidro, Inc.'s NPI (National Provider Identifier) Number is 1922051812. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Centro De Salud De La Comunidad De San Ysidro, Inc. located?
The Centro De Salud De La Comunidad De San Ysidro, Inc. is located at 1601 Precision Park Ln, San Diego, CA 921731345.
What is the Centro De Salud De La Comunidad De San Ysidro, Inc.'s specialty and taxonomy code?
The Centro De Salud De La Comunidad De San Ysidro, Inc.'s specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did Centro De Salud De La Comunidad De San Ysidro, Inc. receive its 1922051812 assignment from the Centers for Medicare & Medicaid Services?
The Centro De Salud De La Comunidad De San Ysidro, Inc. was assigned its 1922051812 on 2006-05-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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 2023-03-16.
NPI Number: 1043213077
Address: 1894 Georgetown Rd, Hudson, OH
NPI Number: 1063415073
Address: 1894 Georgetown Rd, Hudson, OH
NPI Number: 1417950239
Address: 800 Crescent Centre Dr Ste 400, Franklin, TN
NPI Number: 1881697613
Address: 800 Crescent Centre Dr Ste 400, Franklin, TN
NPI Number: 1063414258
Address: 1717 N Sam Houston Pkwy W Ste 100, Houston, TX
NPI Number: 1194729665
Address: 1109 Darlington Oak Dr Ne, St Petersburg, FL
NPI Number: 1730183161
Address: 3315 Gilpin St, Denver, CO