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 1326225632
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 1326225632. 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 | 1326225632 |
|---|---|
| Provider Enumeration Date | 2008-01-29 |
| 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 | 90000143 |
|
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 |
|---|---|---|---|
| W5740 | CA | MEDICARE PART B PTAN | |
| FHC11998G | CA | -- |
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) 1326225632 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
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 Centro De Salud De La Comunidad De San Ysidro Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Centro De Salud De La Comunidad De San Ysidro Inc's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date was the 1326225632 assigned to Centro De Salud De La Comunidad De San Ysidro Inc?
The Centro De Salud De La Comunidad De San Ysidro Inc was issued its 1326225632 on 2008-01-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Centro De Salud De La Comunidad De San Ysidro Inc most recently updated?
The details pertaining to the Centro De Salud De La Comunidad De San Ysidro Inc, including its address, specialty, and other relevant information, were last refreshed on 2019-11-06.