Organization Active NPI

Imperial County Behavioral Health Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Calexico, CA
National Provider Identifier
1033745757
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES
Practice address
23 East 3Rd Street
Calexico, CA 92231
Phone
(442) 265-1525
NPI assigned
Mar 13, 2020
Organization subpart
Yes
Parent organization
COUNTY OF IMPERIALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrea Kuhlen
Title
Director
Phone
(442) 265-1525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

23 East 3Rd Street
Calexico, CA 92231

Mailing address

202 N 8TH St
El Centro, CA 92243-2302
Phone (442) 265-1525

Other names 1

  • Calexico Adult Substance Use Disorder Treatment Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Imperial County Behavioral Health53 organizations share this tax ID, including this one
Part of
Imperial County Behavioral Health

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

23 E 3Rd St
Calexico, CA 92231

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1033745757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N 8TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432302",
            "telephone_number": "442-265-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 EAST 3RD STREET",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "92231",
            "telephone_number": "442-265-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF IMPERIAL",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "KUHLEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "442-265-1525"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calexico Adult Substance Use Disorder Treatment Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calexico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.