Active NPI
Pioneers Memorial Healthcare District
- Rural Health Clinic/Center
- Brawley, CA
National Provider Identifier
1720401607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- PIONEERS MEMORIAL HEALTHCARE DISTRICT
- Practice address
- 751 W Legion Rd
Suite 103
Brawley, CA 92227-7732 - Phone
- (760) 351-4400
- Fax
- (760) 351-4489
- NPI assigned
- Jan 28, 2014
- Organization subpart
- Yes
- Parent organization
- PIONEERS MEMORIAL HEALTHCARE DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen J Campbell
- Title
- Chief Operation Officer &Coo
- Phone
- (760) 351-3550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
751 W Legion Rd
Suite 103
Brawley, CA 92227-7732
Mailing address
207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3350
Other names 1
- Pioneers Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Part of
- Pioneer Memorial HSP
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jan 21, 2025 | Change of Ownership | Pioneers Health Center |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Rural Health Clinic/Center
- Brawley, CA
- NPI 1336944230
Sold to, 2025-01-21
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433203200000",
"number": "1720401607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 W LEGION RD",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922277780",
"telephone_number": "760-351-3350",
"fax_number": "760-351-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 W LEGION RD",
"address_2": "SUITE 103",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922277732",
"telephone_number": "760-351-4400",
"fax_number": "760-351-4489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEERS MEMORIAL HEALTHCARE DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PIONEERS MEMORIAL HEALTHCARE DISTRICT",
"enumeration_date": "2014-01-28",
"last_updated": "2015-06-02",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHIEF OPERATION OFFICER &COO",
"authorized_official_telephone_number": "760-351-3550",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pioneers Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.