institution
Riverside-san Bernardino County Indian Health, Inc.
Federally Qualified Health Center (FQHC) in Grand Terrace, California
NPI 1720178478

Riverside-san Bernardino County Indian Health, Inc. is a Federally Qualified Health Center (FQHC) based in Grand Terrace, CA and is specialized in Federally Qualified Health Center (FQHC). Riverside-san Bernardino County Indian Health, Inc. practices in Grand Terrace, CA. The NPI Number for Riverside-san Bernardino County Indian Health, Inc. is 1720178478 and holds a License No. 240000751 (California).

The current practice location address for Riverside-san Bernardino County Indian Health, Inc. is 11980 Mount Vernon Ave, Grand Terrace, CA and can be reached out via phone at 909-864-1097 and via fax at 951-252-6879.

Location: 11980 Mount Vernon Ave, Grand Terrace, CA, 92313-5172
institution
Provider Profile Details
NPI Number
1720178478
Provider Name
Riverside-san Bernardino County Indian Health, Inc.
Credential
Provider Entity Type
Organization
Address
11980 Mount Vernon Ave, Grand Terrace, CA, 92313-5172
Phone Number
909-864-1097
Fax Number
951-252-6879
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC03869F 05 CA
FHC03854F 05 CA
FHC70271F 05 CA
EAP03854F 01 CA EAPC
institution
Provider Business Practice Location Address Details
Address
11980 Mount Vernon Ave
City
State
Zip
92313-5172
Phone Number
909-864-1097
Fax Number
951-252-6879
person
Provider Business Mailing Address Details
Address
11980 Mount Vernon Ave
City
State
Zip
92313-5172
Phone Number
909-864-1097
Fax Number
951-252-6879
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
240000751 (California)
Definition
Definition to come...
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