| Maxim Healthcare Services, Inc. | |
|
560 E Hospitality Ln Ste 400 San Bernardino CA 92408-3545 | |
| (909) 891-1599 | |
| Not Available |
| Full Name | Maxim Healthcare Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 560 E Hospitality Ln Ste 400, San Bernardino, California |
| Authorized Official Name and Position | David Kowalczyk (CONTROLLER) |
| Authorized Official Contact | 4109101500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxim Healthcare Services, Inc. 7227 Lee Deforest Dr Columbia MD 21046-3236 Ph: () - | Maxim Healthcare Services, Inc. 560 E Hospitality Ln Ste 400 San Bernardino CA 92408-3545 Ph: (909) 891-1599 |
| NPI Number | 1275274482 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275274482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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