Organization · Type 2 NPI

Riverside-San Bernardino County Indian Health, Inc

Federally Qualified Health Center (FQHC) · Mountain Center, CA

NPI number 1366028086 Active

Practice location

65175 St. Highway 74
Mountain Center, CA 92561-9231

Fax (951) 225-6879

Mailing address

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1366028086

Riverside-San Bernardino County Indian Health, Inc's National Provider Identifier is 1366028086, issued on Mar 23, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mountain Center, CA. The record was last updated on Sep 16, 2021.