NPIMap

Organization Active NPI

Imperial County Behavioral Health Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brawley, CA
National Provider Identifier
1073701504
Registry record updated Jan 22, 2008
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
385 D St RM 30
Brawley, CA 92227
Phone
(760) 482-4000
NPI assigned
Oct 10, 2007
Organization subpart
Yes
Parent organization
IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Michael Horn
Title
Director
Phone
(760) 482-4000

Specialties & licenses 1

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

Addresses

Primary practice location

385 D St RM 30
Brawley, CA 92227

Mailing address

385 D St RM 30
Brawley, CA 92227

National Provider Directory

National Provider Directory
Tax ID family
Imperial Co Mental HLTH53 organizations share this tax ID, including this one
Part of
Imperial Co Mental HLTH

Organizations with this tax ID in the same state 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1073701504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 D ST RM 30",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "92227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 D ST RM 30",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "92227",
            "telephone_number": "760-482-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-482-4000"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.