Sac Health System | |
82934 Civic Center Dr Indio CA 92201-4308 | |
(909) 382-7100 | |
Not Available |
Full Name | Sac Health System |
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Speciality | Clinic/Center |
Location | 82934 Civic Center Dr, Indio, California |
Authorized Official Name and Position | Tasha Amick (DIRECTOR OF BILLING) |
Authorized Official Contact | 9093827180 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sac Health System 250 S G St San Bernardino CA 92410-3320 Ph: (909) 382-7180 | Sac Health System 82934 Civic Center Dr Indio CA 92201-4308 Ph: (909) 382-7100 |
NPI Number | 1831624493 |
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Provider Enumeration Date | 04/20/2017 |
Last Update Date | 09/01/2022 |
Medicare PECOS PAC ID | 4385533579 |
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Medicare Enrollment ID | O20190114001876 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831624493 | NPI | - | NPPES |
CMM70708F | Medicaid | CA | |
EAP70708F | Other | CA | EAPC |
ENVOY3000 | Other | CA | ENVOY SITE ID |
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