| Sac Health System | |
|
815 S Willow Ave Rialto CA 92376-6934 | |
| (909) 382-7100 | |
| (909) 382-7101 |
| Full Name | Sac Health System |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 815 S Willow Ave, Rialto, California |
| Authorized Official Name and Position | Tasha Amick (DIRECTOR OF BILLING) |
| Authorized Official Contact | 9093827180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sac Health System 815 S Willow Ave Rialto CA 92376-6934 Ph: (909) 382-7100 | Sac Health System 815 S Willow Ave Rialto CA 92376-6934 Ph: (909) 382-7100 |
| NPI Number | 1386266112 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 09/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386266112 | NPI | - | NPPES |
| ENVOY3000 | Other | CA | ENVOY SITE ID |
| CMM70708F | Medicaid | CA | |
| EAP70708F | Other | CA | EAPC |
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