SAC HEALTH SYSTEM NPI 1437784410

NPI Information

NPI: 1437784410
Provider Name: SAC HEALTH SYSTEM

Other Name: SAC MOBILE UNIT #1

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
250 S G ST
SAN BERNARDINO, CA
ZIP 92410
Phone: (909) 382-7100
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SAC HEALTH SYSTEM is a federally qualified health center (fqhc) clinic center in San Bernardino, CA. SAC HEALTH SYSTEM NPI is 1437784410. The provider is registered as an organization entity type.
The provider Other Name Is Sac Mobile Unit #1.

The provider's business location address is:

250 S G ST
SAN BERNARDINO, CA
ZIP 92410-320
Phone: (909) 382-7100
Fax: (909) 382-7100

The provider's authorized official is Tasha Amick .
The authorized official title is Director Of Billing and has the following contact phone number (909) 382-7180.

The enumeration date for this NPI number is 3/10/2020 and was last updated on 9/1/2022.

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	Primary
1	261QC1500X	Clinic/Center	Community Health	No
2	261QD0000X	Clinic/Center	Dental	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	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	EAP70708F	OTHER	CALIFORNIA	EAPC
2	CMM70708F	MEDICAID	CALIFORNIA
3	ENVOY3000	OTHER	CALIFORNIA	ENVOY SITE ID

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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