Boys & Girls Club

LBN: County Of San Bernardino
Boys & Girls Club is an health care organization with primary practice located at 1180 W 9Th St , San Bernardino CA 92411-2212. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. County Of San Bernardino can be contacted via phone (909) 382-3080, or through Day, Michael J. via phone (909) 388-0570.

Contact Information

Primary practice address
1180 W 9Th St San Bernardino CA 92411-2212
Phone: (909) 382-3080
Fax: (909) 382-3105
Website:
Map and Directions
Authorized official contact:
Name: Day, Michael J.
Phone: (909) 388-0570

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X ZZZ74743Z California

Profile Details

NPI number 1093926826
LBN Legal business name County Of San Bernardino
DBA Doing business as Boys & Girls Club
Authorized official Day, Michael J.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2007
Last updated Sep 24th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093926826 NPPES
California Other 3600036BG MEDICAL PROVIDER NUMBER

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