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COUNTY OF SAN BERNARDINO NPI 1194934471


NPI Information

NPI: 1194934471
Provider Name: COUNTY OF SAN BERNARDINO

Doing Business As: DEPARTMENT OF BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
303 E VANDERBILT WAY
SAN BERNARDINO, CA
ZIP 92415
Phone: (909) 388-0801
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COUNTY OF SAN BERNARDINO is a rehabilitation and substance use disorder clinic center in San Bernardino, CA. COUNTY OF SAN BERNARDINO NPI is 1194934471. The provider is registered as an organization entity type.
The provider Is Doing Business As Department Of Behavioral Health.

The provider's business location address is:

303 E VANDERBILT WAY
SAN BERNARDINO, CA
ZIP 92415-001
Phone: (909) 388-0801
Fax: (909) 890-0435

The provider's authorized official is Erica Ochoa .
The authorized official title is Chief Compliance Officer and has the following contact phone number (909) 388-0882.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/9/2023.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderZZZ74743ZCALIFORNIAYes

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
13600OTHERCALIFORNIADRUG MEDI-CAL

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

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