Riverside San Bernardino County Indian Health Inc in Banning - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Riverside San Bernardino County Indian Health Inc - NPI 1902954944
Riverside San Bernardino County Indian Health Inc is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Banning, California. Riverside San Bernardino County Indian Health Inc practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Riverside San Bernardino County Indian Health Inc is 1902954944. The last update date is 2017-03-29.
Riverside San Bernardino County Indian Health Inc's current location address is 11555 1/2 Potrero Rd, Banning, California. You can contact this provider via phone number 9518494761 and fax number 9518490681. The mailing address for Riverside San Bernardino County Indian Health Inc is 11555 1/2 Potrero Rd, Banning, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Riverside San Bernardino County Indian Health Inc |
|---|---|
| Address | 11555 1/2 Potrero Rd, Banning, California |
| Phone Number | 9518494761 |
| Fax Number | 9518490681 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Yoon Sue |
| Credentials | BS |
| Telephone Number | 9098641097 |
NPI Number Detail
| NPI Number | 1902954944 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2017-03-29 |
Provider Mailing Address Detail
| Address | 11555 1/2 Potrero Rd |
|---|---|
| City | Banning |
| State | California (CA) |
| Post Code | 922206946 |
| Phone Number | 9518494761 |
| Fax Number | 9518490681 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
| Licence No | PHY32790 |
|
Definition: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1998432 | PK | ||
| FHC03854 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Riverside San Bernardino County Indian Health Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Riverside San Bernardino County Indian Health Inc has been assigned the NPI (National Provider Identifier) 1902954944. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Riverside San Bernardino County Indian Health Inc's facilities are geographically located?
The facilities of Riverside San Bernardino County Indian Health Inc are physically situated at the following location: 11555 1/2 Potrero Rd, Banning, CA, 922206946.
What is Riverside San Bernardino County Indian Health Inc's area of expertise and its corresponding taxonomy classification?
The Riverside San Bernardino County Indian Health Inc's field of specialization is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and it falls under the taxonomy code 332800000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Riverside San Bernardino County Indian Health Inc receive the assignment of its 1902954944 from the Centers for Medicare & Medicaid Services?
The Riverside San Bernardino County Indian Health Inc was issued its 1902954944 by the Centers for Medicare & Medicaid Services on 2007-01-08.
As of what date were the details related to Riverside San Bernardino County Indian Health Inc most recently updated or revised?
The information pertaining to Riverside San Bernardino County Indian Health Inc, including its address, specialty, and other relevant details, was last updated or revised on 2017-03-29.
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