East Valley Community Health Center, Inc.
LBN: East Valley Community Health Center, Inc.
East Valley Community Health Center, Inc. is an health care organization with primary practice located at 17840 Villa Corta St , La Puente CA 91744-5342. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
East Valley Community Health Center, Inc. can be contacted via phone (626) 919-4333, or through Mardini, Alicia via phone (626) 919-4333.
Contact Information
Primary practice address
17840 Villa Corta St
La Puente CA 91744-5342
Phone: (626) 919-4333
Fax: (626) 919-2084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 550002062 | California |
Profile Details
| NPI number | 1386912202 |
|---|---|
| LBN Legal business name | East Valley Community Health Center, Inc. |
| DBA Doing business as | |
| Authorized official | Mardini, Alicia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 6th, 2011 |
| Last updated | Feb 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386912202 | NPPES |
| California | Other | 550002062 | CA DEPARTMENT OF PUBLIC HEALTH LICENSE |
| California | MEDICAID | FHC12048F | CA DEPARTMENT OF PUBLIC HEALTH LICENSE |
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