Supportive Services

LBN: County Of San Bernardino
Supportive Services is an health care organization with primary practice located at 900 E Gilbert St Ste 4 , San Bernardino CA 92415-0936. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. County Of San Bernardino can be contacted via phone (909) 387-7406, or through Ochoa, Erica via phone (909) 388-0879.

Contact Information

Primary practice address
900 E Gilbert St Ste 4 San Bernardino CA 92415-0936
Fax: (909) 421-9392
Website:
Authorized official contact:
Name: Ochoa, Erica

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X ZZZ74743Z California

Profile Details

NPI number 1306055603
LBN Legal business name County Of San Bernardino
DBA Doing business as Supportive Services
Authorized official Ochoa, Erica
Entity Organization
Organization subpart 1 Yes
Enumeration date May 22nd, 2007
Last updated Jun 15th, 2022 - about 2 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 1306055603 NPPES
California Other 360008668 MEDICAL PROVIDER NUMBER

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