Morongo Indian Health Clinic

LBN: Riverside-San Bernardino County Indian Health, Inc.
Morongo Indian Health Clinic is an health care organization with primary practice located at 11555 Potrero Rd , Banning CA 92220-6946. 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. Riverside-San Bernardino County Indian Health, Inc. can be contacted via phone (951) 849-4761, or through Killam, Linwood J. via phone (951) 849-4761.

Contact Information

Primary practice address
11555 Potrero Rd Banning CA 92220-6946
Phone: (951) 849-4761
Fax: (951) 849-5612
Website:
Map and Directions
Authorized official contact:
Name: Killam, Linwood J.
Phone: (951) 849-4761

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1841417300
LBN Legal business name Riverside-San Bernardino County Indian Health, Inc.
DBA Doing business as Morongo Indian Health Clinic
Authorized official Killam, Linwood J.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1841417300 NPPES
California MEDICAID EAPC03854F

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