Pioneers Memorial Healthcare District

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

090000087 Issued in CA

Legal business name

PIONEERS MEMORIAL HEALTHCARE DISTRICT

Practice address

565 Main St
Brawley, CA 92227-2423

Phone

(760) 344-5565

NPI assigned

Nov 14, 2017

Last updated

Nov 14, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

PIONEERS MEMORIAL HEALTHCARE DISTRICTAs reported in NPPES

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

Authorized official

Name

Lawrence Edward Lewis

Title

Ceo

Phone

(760) 351-3597

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Pioneers Memorial Hosp

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Imperial Valley Healthcare District

  dba Pioneers Children's Health Center

  • Rural Health Clinic/Center
  • Brawley, CA
  • NPI 1598560492

  Sold to, 2025-01-21

  CMS change of ownership

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1760995625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 MAIN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272423",
            "telephone_number": "760-344-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 MAIN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272423",
            "telephone_number": "760-344-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEERS MEMORIAL HEALTHCARE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEERS MEMORIAL HEALTHCARE DISTRICT",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-351-3597"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "CA",
            "license": "090000087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Petro, PA-C
• Solange Pierre-Michel, N.P.
• Pioneers Memorial Healthcare District
• Pioneers Memorial Healthcare District (Comprehensive Women's Health at Pioneers)
• Pioneers Memorial Healthcare District (Pioneers Health Center)
• Rosanna Salgado Pritting, FNP
• Cecilia Joseline Puga
• Raj Lunagaria Inc (White Cross Pharmacy)
• Rambel Vein Center, PC
• Andrew Ramirez, P.T.

• Rural Acute Care Hospital in Brawley, CA
• Providers in Brawley, CA by specialty
• Rural Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.

Verify at the official NPI Registry.