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RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC. NPI 1659424885


NPI Information

NPI: 1659424885
Provider Name: RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC.

Doing Business As: ANZA INDIAN HEALTH

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
39100 CONTRERAS RD
SUITE C
ANZA, CA
ZIP 92539
Phone: (951) 763-4835
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RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Anza, CA. RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC. NPI is 1659424885. The provider is registered as an organization entity type.
The provider Is Doing Business As Anza Indian Health.

The provider's business location address is:

39100 CONTRERAS RD
SUITE C
ANZA, CA
ZIP 92539-724
Phone: (951) 763-4835
Fax: (951) 763-0495

The provider's authorized official is William Thomsen .
The authorized official title is Ceo and has the following contact phone number (909) 864-1097.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 8/25/2021.


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
1261QF0400XClinic/CenterFederally 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: 4/28/2024

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