CMS-1500 Box 24J / 33a • NPI
1750558201
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261Q00000X (CMS 70)
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
401 PICACHO ROAD, WINTERHAVEN, CA, 92283
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1750558201 (DHHS PHS IHS PHOENIX AREA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1750558201 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | DHHS PHS IHS PHOENIX AREA |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261Q00000X (Clinic/Center) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 401 PICACHO ROAD, WINTERHAVEN, CA, 92283 |
| Practice Telephone / Fax | Tel: (760) 572-4100 | Fax: (760) 572-2133 |
| Administrative Mailing Address | PO BOX 1368, YUMA, AZ, 85366 |
| Enumeration & Last Sync | Enumerated: 2008-05-14 | CMS Record Updated: 2018-04-20 |
| Authorized Official | CINDY BALDWIN (Chief Executive Officer) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261Q00000X)
What Does Taxonomy Code 261Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261Q00000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DHHS PHS IHS PHOENIX AREA)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
104100000X — Social WorkerPlain English: Licensed & Credentialed Social Worker | State: N/A | License: Verified | Primary: Secondary |
122300000X — DentistPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: N/A | License: Verified | Primary: Secondary |
133N00000X — NutritionistPlain English: Licensed & Credentialed Nutritionist | State: N/A | License: Verified | Primary: Secondary |
146N00000X — Emergency Medical Technician, BasicPlain English: Licensed & Credentialed Emergency Medical Technician, Basic | State: N/A | License: Verified | Primary: Secondary |
152W00000X — OptometristPlain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist | State: N/A | License: Verified | Primary: Secondary |
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: N/A | License: Verified | Primary: Secondary |
183500000X — PharmacistPlain English: Licensed & Credentialed Pharmacist | State: N/A | License: Verified | Primary: Secondary |
213E00000X — PodiatristPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist | State: N/A | License: Verified | Primary: Secondary |
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: N/A | License: Verified | Primary: Secondary |
227800000X — Respiratory Therapist, CertifiedPlain English: Licensed & Credentialed Respiratory Therapist, Certified | State: N/A | License: Verified | Primary: Secondary |
231H00000X — AudiologistPlain English: Licensed & Credentialed Speech, Language and Hearing Service Providers — Audiologist | State: N/A | License: Verified | Primary: Secondary |
247ZC0005X — Pathology, Clinical Laboratory Director, Non-physicianPlain English: Licensed & Credentialed Pathology, Clinical Laboratory Director, Non-physician | State: N/A | License: Verified | Primary: Secondary |
364S00000X — Clinical Nurse SpecialistPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist | State: N/A | License: Verified | Primary: Secondary |
261Q00000X — Clinic/CenterPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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