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INLAND EMPIRE JOB CORPS CENTER NPI 1922326180


NPI Information

NPI: 1922326180
Provider Name: INLAND EMPIRE JOB CORPS CENTER

Other Name: MANAGEMENT AND TRAINING CORPORATION

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

CLIA Number: 05D0970179

Address:
3173 KERRY ST
HEALTH & WELLNESS DEPARTMENT
SAN BERNARDINO, CA
ZIP 92407
Phone: (909) 887-7105
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INLAND EMPIRE JOB CORPS CENTER is a student health clinic center in San Bernardino, CA. INLAND EMPIRE JOB CORPS CENTER NPI is 1922326180. The provider is registered as an organization entity type.
The provider Other Name Is Management And Training Corporation.

The provider's business location address is:

3173 KERRY ST
HEALTH & WELLNESS DEPARTMENT
SAN BERNARDINO, CA
ZIP 92407-325
Phone: (909) 887-7105
Fax: (909) 473-1510

The provider's authorized official is Linda Stull .
The authorized official title is Center Director and has the following contact phone number (909) 887-7146.

The CLIA number assigned to this NPI record is 05D0970179 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2010 and was last updated on 5/12/2010.


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
1261QS1000XClinic/CenterStudent HealthG53297CALIFORNIAYes

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

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