UNICARE COMMUNITY HEALTH CENTER INC NPI 1265999296

NPI Information

NPI: 1265999296
Provider Name: UNICARE COMMUNITY HEALTH CENTER INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D0575467

Address:
107 N MCKINLEY ST
CORONA, CA
ZIP 92879
Phone: (951) 571-8518
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UNICARE COMMUNITY HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Corona, CA. UNICARE COMMUNITY HEALTH CENTER INC NPI is 1265999296. The provider is registered as an organization entity type.

The provider's business location address is:

107 N MCKINLEY ST
CORONA, CA
ZIP 92879-561
Phone: (951) 571-8518

The provider's authorized official is Avetik Machkalyan .
The authorized official title is Chief Executive Officer and has the following contact phone number (909) 988-2555.

The CLIA number assigned to this NPI record is 05D0575467 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2019 and was last updated on 7/23/2019.

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: 11/14/2023

NPI Synchronization or Removal

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