East Valley Community Health Center

LBN: East Valley Community Health Center, Inc.
East Valley Community Health Center is an health care organization with primary practice located at 1555 S Garey Ave , Pomona CA 91766-5222. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. East Valley Community Health Center, Inc. can be contacted via phone (909) 620-8088, or through Mardini, Alicia via phone (626) 919-4333.

Contact Information

Primary practice address
1555 S Garey Ave Pomona CA 91766-5222
Fax: (909) 623-4861
Website:
Authorized official contact:
Name: Mardini, Alicia

Profile Details

NPI number 1700902251
LBN Legal business name East Valley Community Health Center, Inc.
DBA Doing business as East Valley Community Health Center
Authorized official Mardini, Alicia
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated May 20th, 2014 - about 10 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 1700902251 NPPES
California MEDICAID HAP70508F

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