COUNTY OF SAN BERNARDINO NPI 1154539765

NPI Information

NPI: 1154539765
Provider Name: COUNTY OF SAN BERNARDINO

Doing Business As: MAIN STREET HESPERIA CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
14628 MAIN STREET
HESPERIA, CA
ZIP 92345
Phone: (909) 382-3080
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COUNTY OF SAN BERNARDINO is a mental health (including community mental health center) clinic center in Hesperia, CA. COUNTY OF SAN BERNARDINO NPI is 1154539765. The provider is registered as an organization entity type.
The provider Is Doing Business As Main Street Hesperia Center.

The provider's business location address is:

14628 MAIN STREET
HESPERIA, CA
ZIP 92345
Phone: (909) 382-3080
Fax: (909) 382-3105

The provider's authorized official is Michael J Day .
The authorized official title is Information Technology Manager and has the following contact phone number (909) 388-0570.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 9/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	ZZZ74743Z	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ23599Z	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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