Brawley Dental Clinic | |
1166 K St Brawley CA 92227-2737 | |
(760) 344-3583 | |
(760) 344-8480 |
Full Name | Brawley Dental Clinic |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1166 K St, Brawley, California |
Authorized Official Name and Position | Yvonne Bell (CEO) |
Authorized Official Contact | 7603449951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brawley Dental Clinic 852 E Danenberg Dr El Centro CA 92243 Ph: (760) 344-9951 | Brawley Dental Clinic 1166 K St Brawley CA 92227-2737 Ph: (760) 344-3583 |
NPI Number | 1699859421 |
---|---|
Provider Enumeration Date | 10/25/2006 |
Last Update Date | 02/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699859421 | NPI | - | NPPES |
090000670 | Other | CA | DHS LICENSE |
FHC70977F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 090000670 (California) | Primary |
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› Verified 8 days ago
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