| Riverside-san Bernardino County Indian Health, Inc. | |
|
11980 Mount Vernon Ave Grand Terrace CA 92313-5172 | |
| (909) 864-1097 | |
| (951) 252-6879 |
| Full Name | Riverside-san Bernardino County Indian Health, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 11980 Mount Vernon Ave, Grand Terrace, California |
| Authorized Official Name and Position | William Thomsen (CEO) |
| Authorized Official Contact | 9518641097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside-san Bernardino County Indian Health, Inc. 11980 Mount Vernon Ave Grand Terrace CA 92313-5172 Ph: (909) 864-1097 | Riverside-san Bernardino County Indian Health, Inc. 11980 Mount Vernon Ave Grand Terrace CA 92313-5172 Ph: (909) 864-1097 |
| NPI Number | 1720178478 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720178478 | NPI | - | NPPES |
| FHC03869F | Medicaid | CA | |
| FHC03854F | Medicaid | CA | |
| FHC70271F | Medicaid | CA | |
| EAP03854F | Other | CA | EAPC |
San Manuel Indian Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11980 Mount Vernon Ave, Grand Terrace, CA 92313 Phone: 909-864-1097 Fax: 909-744-3960 | |
Grand Terrace Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12139 Mount Vernon Ave Ste 100, Grand Terrace, CA 92313 Phone: 909-783-4950 | |
Medrecord Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22182 Barton Rd, Grand Terrace, CA 92313 Phone: 909-800-0025 | |
Sasn Manuel Indian Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11980 Mount Vernon Ave, Grand Terrace, CA 92313 Phone: 909-864-1097 |