Bloomington Community Health Center
LBN: Community Health Systems, Inc.
Bloomington Community Health Center is an health care organization with primary practice located at 18601 Valley Blvd , Bloomington CA 92316-1831. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Community Health Systems, Inc. can be contacted via phone (909) 546-7520, or through Holeman, Lori Nanette via phone (951) 571-2300.
Contact Information
Primary practice address
18601 Valley Blvd
Bloomington CA 92316-1831
Phone: (909) 546-7520
Fax: (909) 877-5468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 40093 | California |
| Dental Providers / General Practice | 1223G0001X | 46894 | California |
| Dental Providers / General Practice | 1223G0001X | 40996 | California |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 47987 | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT12626TPA | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 387455 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A98737 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A110976 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A87726 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 506572 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A1157855 | California |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 240000086 | California |
Profile Details
| NPI number | 1487706347 |
|---|---|
| LBN Legal business name | Community Health Systems, Inc. |
| DBA Doing business as | Bloomington Community Health Center |
| Authorized official | Holeman, Lori Nanette |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Mar 18th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487706347 | NPPES |
| California | MEDICAID | FHC70324F | |
| California | MEDICAID | EAP70324F | |
| California | MEDICAID | HAP70324F | |
| California | MEDICAID | NPI 1487706347 |
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