Active NPI
DHHS PHS IHS Phoenix Area
- Clinic/Center
- Winterhaven, CA
National Provider Identifier
1750558201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
- Last updated
- Apr 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy S Baldwin
- Title
- Chief Executive Officer
- Phone
- (760) 572-4100
Specialties & licenses 14
| 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 | Primary | ||
| 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 names 1
- Ft Yuma Indian Health Center
National Provider Directory
National Provider Directory- Tax ID family
- DHHS PHS IHS Phoenix Area
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Ft Yuma Indian Health Center
- Clinic/Center
- Winterhaven, CA
- NPI 1265719918
-
dba Ft Yuma Indian Health Center-Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Winterhaven, CA
- NPI 1457486177
-
dba Ft Yuma Indian Health Center - Dental
- Dentist
- Winterhaven, CA
- NPI 1649432121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524182400000",
"number": "1750558201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1368",
"city": "YUMA",
"state": "AZ",
"postal_code": "85366",
"telephone_number": "760-572-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PICACHO ROAD",
"city": "WINTERHAVEN",
"state": "CA",
"postal_code": "92283",
"telephone_number": "760-572-4100",
"fax_number": "760-572-2133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DHHS PHS IHS PHOENIX AREA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-14",
"last_updated": "2018-04-20",
"status": "A",
"authorized_official_last_name": "BALDWIN",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "760-572-4100"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "227800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "247ZC0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ft Yuma Indian Health Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Winterhaven, CA
- Mary Decorse, RN
- Sally Ann Decorse, RN
- DHHS PHS IHS Phoenix Area (Ft Yuma Indian Health Center)
- DHHS PHS IHS Phoenix Area (Ft Yuma Indian Health Center-Pharmacy)
- DHHS PHS IHS Phoenix Area (Ft Yuma Indian Health Center - Dental)
- Deborah Ann Drumel
- Nancy Jo Edwards
- Cheryl Eswonia
- Nicolas Benjamin Flores, SFIDC
- Jo Foley, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.