| Bloomington Community Health Center - Building 2 | |
|
18651 Valley Blvd Unit A Bloomington CA 92316-1831 | |
| (951) 571-2300 | |
| Not Available |
| Full Name | Bloomington Community Health Center - Building 2 |
|---|---|
| Speciality | Clinic/Center |
| Location | 18651 Valley Blvd Unit A, Bloomington, California |
| Authorized Official Name and Position | Vanessa Ivonne Ortiz (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 9515712379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Community Health Center - Building 2 22675 Alessandro Blvd Moreno Valley CA 92553-8551 Ph: (951) 571-2300 | Bloomington Community Health Center - Building 2 18651 Valley Blvd Unit A Bloomington CA 92316-1831 Ph: (951) 571-2300 |
| NPI Number | 1093226243 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 10/16/2017 |
| Medicare PECOS PAC ID | 7012824717 |
|---|---|
| Medicare Enrollment ID | O20181113000735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093226243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Inland Empire Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18601 Valley Blvd, Bloomington, CA 92316 Phone: 909-877-1818 Fax: 909-746-0400 |