DHHS PHS IHS Phoenix Area
Organization Active NPI Clinic/Center · Winterhaven, CA
NPI 1750558201 · NPPES record last updated Apr 20, 2018
Key facts
- NPI
- 1750558201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- DHHS PHS IHS PHOENIX AREA
- Practice address
- 401 Picacho Road
Winterhaven, CA 92283 - Phone
- (760) 572-4100
- Fax
- (760) 572-2133
- NPI assigned
- May 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Cindy S Baldwin
- Title
- Chief Executive Officer
- Phone
- (760) 572-4100
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- DHHS PHS IHS Phoenix Area
Locations
401 Picacho Rd
Winterhaven, CA 92283
Phone (760) 572-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | |||
| Dentist |
122300000X | |||
| Nutritionist |
133N00000X | |||
| Basic Emergency Medical Technician |
146N00000X | |||
| Optometrist |
152W00000X | |||
| Registered Nurse |
163W00000X | |||
| Pharmacist |
183500000X | |||
| Podiatrist |
213E00000X | |||
| Physical Therapist |
225100000X | |||
| Certified Respiratory Therapist |
227800000X | |||
| Audiologist |
231H00000X | |||
| Clinical Laboratory Director (Non-physician) |
247ZC0005X | |||
| Clinic/Center | 261Q00000X | Yes | ||
| Clinical Nurse Specialist |
364S00000X |
Addresses
Primary practice location
401 Picacho Road
Winterhaven, CA 92283
Mailing address
PO Box 1368
Yuma, AZ 85366
Phone (760) 572-4100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020511 | Medicaid | AZ |
Other names
- Ft Yuma Indian Health Center
Other providers in Winterhaven, CA
- Mary Decorse
- Sally Ann Decorse
- DHHS PHS IHS Phoenix Area
- DHHS PHS IHS Phoenix Area
- DHHS PHS IHS Phoenix Area
- Deborah Ann Drumel
- Nancy Jo Edwards
- Cheryl Eswonia
- Nicolas Benjamin Flores
- Jo Foley
All providers in Winterhaven, CA · Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.