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COMMUNITY HEALTH SYSTEMS INC. NPI 1952308009


NPI Information

NPI: 1952308009
Provider Name: COMMUNITY HEALTH SYSTEMS, INC.

Doing Business As: INLAND EMPIRE 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) 877-1818
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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 1952308009. The provider is registered as an organization entity type.
The provider Is Doing Business As Inland Empire Community Health Center.

The provider's business location address is:

18601 VALLEY BLVD
BLOOMINGTON, CA
ZIP 92316-831
Phone: (909) 877-1818
Fax: (909) 746-0400

The provider's authorized official is Bobby Vascovich .
The authorized official title is Chief Executive Officer and has the following contact phone number (909) 877-1818.

The enumeration date for this NPI number is 7/5/2005 and was last updated on 8/22/2020.


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)CALIFORNIANo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)CALIFORNIANo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)CALIFORNIANo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)CALIFORNIAYes

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
1G98054-03OTHERCALIFORNIADELTA DENTAL
2HAP70324FOTHERCALIFORNIAFAMILY PACT
3FHC70324FMEDICAIDCALIFORNIA
4HAP70275GOTHERCALIFORNIAFAMILY PACT
5FHC71040FMEDICAIDCALIFORNIA
6G98054-01OTHERCALIFORNIADELTA DENTAL
7HAP70865FOTHERCALIFORNIAFAMILY PACT
8FHC70275GMEDICAIDCALIFORNIA
9FHC70865FMEDICAIDCALIFORNIA
10G98054-02OTHERCALIFORNIADELTA DENTAL

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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