Imperial Beach Health Center

LBN: Imperial Beach Community Clinic
Imperial Beach Health Center is an health care organization with primary practice located at 949 Palm Avenue , Imperial Beach CA 91932-1503. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Imperial Beach Community Clinic can be contacted via phone (619) 429-3733, or through Kirk, Constance via phone (619) 429-5387.

Contact Information

Primary practice address
949 Palm Avenue Imperial Beach CA 91932-1503
Fax: (619) 429-6457
Website:
Authorized official contact:
Name: Kirk, Constance

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1790718351
LBN Legal business name Imperial Beach Community Clinic
DBA Doing business as Imperial Beach Health Center
Authorized official Kirk, Constance
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated May 27th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790718351 NPPES
California Other 40 COUNTY MEDICAL SERVICES
California Other HAP11826F COUNTY MEDICAL SERVICES
California Other EAP11826F COUNTY MEDICAL SERVICES
California MEDICAID FHC11826F COUNTY MEDICAL SERVICES
California Other BCP11826F COUNTY MEDICAL SERVICES
California Other FHC11826F COUNTY MEDICAL SERVICES
California Other 05D0683042 COUNTY MEDICAL SERVICES

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