| |
1755 Maple St San Bernardino CA 92411-2441 | |
(909) 386-7600 | |
(909) 386-7580 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1755 Maple St, San Bernardino, California |
Authorized Official Name and Position | Temetry Ann Lindsey (CEO/PRESIDENT) |
Authorized Official Contact | 9098816146 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1755 Maple St San Bernardino CA 92411-2441 Ph: (909) 386-7600 | 1755 Maple St San Bernardino CA 92411-2441 Ph: (909) 386-7600 |
NPI Number | 1255523759 |
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Provider Enumeration Date | 08/17/2007 |
Last Update Date | 08/06/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255523759 | NPI | - | NPPES |
FHC70520F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 240000839 (California) | Primary |
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