| Riverside-san Bernardino County Indian Health, Inc. | |
|
39100 Contreras Rd Suite C Anza CA 92539-8724 | |
| (951) 763-4835 | |
| (951) 763-0495 |
| Full Name | Riverside-san Bernardino County Indian Health, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 39100 Contreras Rd, Anza, California |
| Authorized Official Name and Position | William Thomsen (CEO) |
| 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. 39100 Contreras Rd Suite C Anza CA 92539-8724 Ph: (951) 763-4835 |
| NPI Number | 1659424885 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659424885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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