| Riverside/san Bernardino County Indian Health, Inc. | |
|
65175 State Highway 74 Mountain Center CA 92561 | |
| (951) 823-8882 | |
| Not Available |
| Full Name | Riverside/san Bernardino County Indian Health, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 65175 State Highway 74, Mountain Center, California |
| Authorized Official Name and Position | Mark Jensen (CFO) |
| Authorized Official Contact | 9098641097 |
| 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. 65175 State Highway 74 Mountain Center CA 92561 Ph: (951) 823-8882 |
| NPI Number | 1922686955 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922686955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Santa Rosa Indian Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65175 St. Highway 74, Mountain Center, CA 92561 Phone: 951-823-8882 Fax: 951-225-6879 |