| Sasn Manuel Indian Health Clinic | |
|
11980 Mount Vernon Ave Grand Terrace CA 92313-5172 | |
| (909) 864-1097 | |
| Not Available |
| Full Name | Sasn Manuel Indian Health Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11980 Mount Vernon Ave, Grand Terrace, California |
| Authorized Official Name and Position | Bill Thomsen (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 9098641097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sasn Manuel Indian Health Clinic 11980 Mount Vernon Ave Grand Terrace CA 92313-5172 Ph: (909) 864-1097 | Sasn Manuel Indian Health Clinic 11980 Mount Vernon Ave Grand Terrace CA 92313-5172 Ph: (909) 864-1097 |
| NPI Number | 1891169249 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 11/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891169249 | NPI | - | NPPES |
| 1174676670 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 240000751 (California) | Primary |
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 | |
Riverside-san Bernardino County Indian Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11980 Mount Vernon Ave, Grand Terrace, CA 92313 Phone: 909-864-1097 Fax: 951-252-6879 | |
Medrecord Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22182 Barton Rd, Grand Terrace, CA 92313 Phone: 909-800-0025 |