CENTRAL CITY COMMUNITY HEALTH CENTER NPI 1033488416

NPI Information

NPI: 1033488416
Provider Name: CENTRAL CITY COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D2041888

Address:
1860 HAMNER AVE
NORCO, CA
ZIP 92860
Phone: (951) 479-0070
Get Directions

CENTRAL CITY COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Norco, CA. CENTRAL CITY COMMUNITY HEALTH CENTER NPI is 1033488416. The provider is registered as an organization entity type.

The provider's business location address is:

1860 HAMNER AVE
NORCO, CA
ZIP 92860
Phone: (951) 479-0070
Fax: (951) 479-0074

The provider's authorized official is Rosemary D Reyes .
The authorized official title is Ceo and has the following contact phone number (323) 724-0019.

The CLIA number assigned to this NPI record is 05D2041888 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2011 and was last updated on 12/21/2022.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »