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1454 E 2nd St San Bernardino CA 92408-0118 | |
| (909) 382-7100 | |
| (909) 382-7136 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1454 E 2nd St, San Bernardino, California |
| Authorized Official Name and Position | Tasha Amick (DIR. 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 |
|---|---|
1454 E 2nd St San Bernardino CA 92408-0118 Ph: (909) 382-7100 | 1454 E 2nd St San Bernardino CA 92408-0118 Ph: (909) 382-7100 |
| NPI Number | 1013935915 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 09/01/2022 |
| Medicare PECOS PAC ID | 4385533579 |
|---|---|
| Medicare Enrollment ID | O20121101000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013935915 | NPI | - | NPPES |
| CMM70708F | Medicaid | CA | |
| EAP70708F | Other | CA | EAPC |
| ENVOY3000 | Other | CA | ENVOY SITE ID |
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Dewar Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 124, San Bernardino, CA 92404 Phone: 909-886-6576 Fax: 909-882-1299 | |
Pliev Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N Arrowhead Ave, San Bernardino, CA 92401 Phone: 909-424-0065 | |
United Medical Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 473 E Carnegie Drive, Suite 200, San Bernardino, CA 92480 Phone: 909-244-7430 Fax: 909-495-1380 |