East Valley Community Health Center, Inc. in Pomona - Federally Qualified Health Center (fqhc)

East Valley Community Health Center, Inc. - NPI 1649324443

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 1649324443. The last update date is 2022-02-11.

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 1649324443
Provider Enumeration Date 2007-01-22
Last Updated Date 2022-02-11

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
FHC70508F CA --

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FAQs about East Valley Community Health Center, Inc.

What is the unique 10-digit identification code assigned to East Valley Community Health Center, Inc. by the Centers for Medicare & Medicaid Services?

The East Valley Community Health Center, Inc. has been issued the NPI (National Provider Identifier) 1649324443, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

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 field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for East Valley Community Health Center, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1649324443 to East Valley Community Health Center, Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1649324443 to East Valley Community Health Center, Inc. on 2007-01-22.

As of what date was the information regarding East Valley Community Health Center, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to East Valley Community Health Center, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-02-11.

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