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COMMUNITY HEALTH SYSTEMS INC. NPI 1487706347


NPI Information

NPI: 1487706347
Provider Name: COMMUNITY HEALTH SYSTEMS, INC.

Doing Business As: BLOOMINGTON COMMUNITY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
18601 VALLEY BLVD
BLOOMINGTON, CA
ZIP 92316
Phone: (909) 546-7520
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COMMUNITY HEALTH SYSTEMS, INC. is a federally qualified health center (fqhc) clinic center in Bloomington, CA. COMMUNITY HEALTH SYSTEMS, INC. NPI is 1487706347. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bloomington Community Health Center.

The provider's business location address is:

18601 VALLEY BLVD
BLOOMINGTON, CA
ZIP 92316-831
Phone: (909) 546-7520
Fax: (909) 877-5468

The provider's authorized official is Lori Nanette Holeman .
The authorized official title is Ceo and has the following contact phone number (951) 571-2300.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 3/18/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist40093CALIFORNIANo
21223G0001XDentistGeneral Practice46894CALIFORNIANo
31223G0001XDentistGeneral Practice40996CALIFORNIANo
41223P0221XDentistPediatric Dentistry47987CALIFORNIANo
5152W00000XOptometristOPT12626TPACALIFORNIANo
6207Q00000XFamily Medicine387455CALIFORNIANo
7207Q00000XFamily MedicineA98737CALIFORNIANo
8207Q00000XFamily MedicineA110976CALIFORNIANo
9207Q00000XFamily MedicineA87726CALIFORNIANo
10207Q00000XFamily Medicine506572CALIFORNIANo
11207Q00000XFamily MedicineA1157855CALIFORNIANo
12261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)240000086CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NPI 1487706347MEDICAIDCALIFORNIA
2HAP70324FMEDICAIDCALIFORNIA
3EAP70324FMEDICAIDCALIFORNIA
4FHC70324FMEDICAIDCALIFORNIA

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: 4/28/2024

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.