IMPERIAL BEACH HEALTH CENTER – NPI #1790718351
Clinic/Center
IMPERIAL BEACH HEALTH CENTER is an AHC clinic located in IMPERIAL BEACH, CA. NPPES has assigned the NPI number 1790718351 to IMPERIAL BEACH HEALTH CENTER on July 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IMPERIAL BEACH HEALTH CENTER” is a dba name, the actual legal business name for this organization is IMPERIAL BEACH COMMUNITY CLINIC. The primary taxonomy selected by this provider is 261QC1500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Community Health
The NPI profile was previously updated about 16 years ago on May 27, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IMPERIAL BEACH HEALTH CENTER below.
NPI Profile for
IMPERIAL BEACH COMMUNITY CLINIC
(about 20 years ago)
IMPERIAL BEACH, CA 91932-1503 Phone: (619) 429-3733 Fax: (619) 429-6457
IMPERIAL BEACH, CA 91933-0459 Phone: (619) 429-3733 Fax: (619) 429-6457
EXECUTIVE DIRECTOR
Phone: (619) 429-5387
Identifiers for IMPERIAL BEACH HEALTH CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | CDP | CA | BCP11826F |
| OTHER | COUNTY MEDICAL SERVICES | CA | 40 |
| OTHER | EAPC | CA | EAP11826F |
| OTHER | FAMILY PACT | CA | HAP11826F |
| OTHER | LABORATORY CLIA NUMBER | 05D0683042 | |
| OTHER | MEDI CAL | CA | FHC11826F |
| MEDICAID | CA | FHC11826F |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QC1500X - Clinic/Center / Community Health (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.