East Valley Community Health Center, Inc. in Pomona - Federally Qualified Health Center (fqhc)
East Valley Community Health Center, Inc. - NPI 1619093168
East Valley Community Health Center, Inc. is a Federally Qualified Health Center (fqhc) in Pomona, California. East Valley Community Health Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for East Valley Community Health Center, Inc. is 1619093168. The last update date is 2014-05-21.
East Valley Community Health Center, Inc.'s current location address is 1555 S Garey Ave, Pomona, California. You can contact this provider via phone number 9096208088 and fax number 9096234861. The mailing address for East Valley Community Health Center, Inc. is 1555 S Garey Ave, Pomona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Valley Community Health Center, Inc. |
|---|---|
| Address | 1555 S Garey Ave, Pomona, California |
| Phone Number | 9096208088 |
| Fax Number | 9096234861 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Mardini Alicia |
| Telephone Number | 6269194333 |
NPI Number Detail
| NPI Number | 1619093168 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2014-05-21 |
Provider Mailing Address Detail
| Address | 1555 S Garey Ave |
|---|---|
| City | Pomona |
| State | California (CA) |
| Post Code | 917665222 |
| Phone Number | 9096208088 |
| Fax Number | 9096234861 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BCP70508F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to East Valley Community Health Center, Inc. by the Centers for Medicare & Medicaid Services?
The East Valley Community Health Center, Inc. has been assigned the NPI (National Provider Identifier) 1619093168 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where East Valley Community Health Center, Inc. is located?
The East Valley Community Health Center, Inc. is situated at the following address: 1555 S Garey Ave, Pomona, CA, 917665222.
What is East Valley Community Health Center, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The East Valley Community Health Center, Inc.'s specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619093168 to East Valley Community Health Center, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1619093168 to East Valley Community Health Center, Inc. on 2007-03-22.
As of what date were the details related to East Valley Community Health Center, Inc. most recently updated or revised?
The information pertaining to East Valley Community Health Center, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2014-05-21.
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