| County Of San Bernardino | |
|
1841 E Main St Barstow CA 92311-3234 | |
| (760) 255-5700 | |
| (760) 256-5092 |
| Full Name | County Of San Bernardino |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1841 E Main St, Barstow, California |
| Authorized Official Name and Position | Erica Ochoa (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 9093880882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of San Bernardino 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 | County Of San Bernardino 1841 E Main St Barstow CA 92311-3234 Ph: (760) 255-5700 |
| NPI Number | 1992913511 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 09/07/2022 |
| Certification Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992913511 | NPI | - | NPPES |
| 360003688 | Other | CA | MEDICAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | ZZZ74743Z (California) | Primary |
Addiction Therapeutic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 E Main St, Barstow, CA 92311 Phone: 760-957-7479 Fax: 760-957-7416 | |
Make It Happen Conglomerate Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2081 W Main St, Ste 103, Barstow, CA 92311 Phone: 442-295-9096 | |
County Of San Bernardino Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 E Mountain View St, Barstow, CA 92311 Phone: 760-256-4737 Fax: 909-388-0898 | |
Lutheran Social Services Of Southern California Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 E Mountain View St, Suite 100,101,102,104, Barstow, CA 92311 Phone: 760-256-7279 | |
Victor Community Support Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 E Main St Ste 113-117, Barstow, CA 92311 Phone: 760-245-4695 Fax: 760-513-4696 | |
Vista Guidance Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 E Mountain View St Ste 100, Barstow, CA 92311 Phone: 760-256-0376 Fax: 760-266-0377 | |
Lss Community Care Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 E Mountain View St, Suite 100, Barstow, CA 92311 Phone: 760-256-7279 |