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 1821275132
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 1821275132. 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 | 6192054100 |
NPI Number Detail
| NPI Number | 1821275132 |
|---|---|
| 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 | 90000622 |
|
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# | |
| FHC70797F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Centro De Salud De La Comunidad De San Ysidro, Inc. by the Centers for Medicare & Medicaid Services?
The Centro De Salud De La Comunidad De San Ysidro, Inc. has been issued the NPI (National Provider Identifier) 1821275132 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Centro De Salud De La Comunidad De San Ysidro, Inc. is located?
The Centro De Salud De La Comunidad De San Ysidro, Inc. is situated at the following address: 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 was the 1821275132 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 1821275132 on 2008-01-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Centro De Salud De La Comunidad De San Ysidro, Inc.'s details last updated?
The information pertaining to the Centro De Salud De La Comunidad De San Ysidro, Inc., including its address, specialty, and other details, was most recently updated on 2019-11-06.
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