Mill Medical Clinic
LBN: Mill Medical Clinic Inc
Mill Medical Clinic is an health care organization with primary practice located at 1292 W Mill St Suite 105, San Bernardino CA 92410-2500. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Mill Medical Clinic Inc can be contacted via phone (909) 383-9440, or through Kintanar, Paul C via phone (909) 253-0841.
Contact Information
Primary practice address
1292 W Mill St Suite 105
San Bernardino CA 92410-2500
Phone: (909) 383-9440
Fax: (909) 383-9443
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | A383760 | California |
Profile Details
NPI number | 1710074877 |
---|---|
LBN Legal business name | Mill Medical Clinic Inc |
DBA Doing business as | Mill Medical Clinic |
Authorized official | Kintanar, Paul C |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 9th, 2006 |
Last updated | Aug 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710074877 | NPPES |
California | MEDICAID | 00A383760 | |
California | MEDICAID | 00A383761 | |
California | MEDICAID | GR0078010 |
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