| Riverside-san Bernardino County Indian Health, Inc | |
|
11555 1/2 Potrero Rd Banning CA 92220-6946 | |
| (951) 849-4761 | |
| (951) 849-5612 |
| Full Name | Riverside-san Bernardino County Indian Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11555 1/2 Potrero Rd, Banning, California |
| Authorized Official Name and Position | William Thomsen (CEO) |
| Authorized Official Contact | 9098641097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 11555 1/2 Potrero Rd Banning CA 92220-6946 Ph: (951) 849-4761 |
| NPI Number | 1437202124 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/25/2021 |
| Medicare PECOS PAC ID | 4789867805 |
|---|---|
| Medicare Enrollment ID | O20110329000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437202124 | NPI | - | NPPES |
| FHC03854F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
New Millenium Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950 Fax: 951-849-0080 | |
Dr Shanna R Newbold M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 264 N Highland Springs Ave Ste A, Banning, CA 92220 Phone: 909-556-7694 | |
San Gorgonio Memorial Health Care District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 264 N Highland Springs Ave, Banning, CA 92220 Phone: 951-846-2877 Fax: 951-846-2876 | |
First Americans Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12359 Malki Rd, Banning, CA 92220 Phone: 951-922-2058 Fax: 888-551-2116 | |
Harbor Wound Care P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1424 Hummingbird Way, Banning, CA 92220 Phone: 626-250-4912 | |
Beaver Medical Group, Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 Fax: 909-796-4158 |