Sac Arrowhead
LBN: Sac Health System
Sac Arrowhead is an health care organization with primary practice located at 1293 N D St , San Bernardino CA 92405-4734. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Sac Health System can be contacted via phone (909) 382-7100, or through Amick, Tasha via phone (909) 382-7180.
Contact Information
Primary practice address
1293 N D St
San Bernardino CA 92405-4734
Phone: (909) 382-7100
Fax: (909) 382-7101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | CMM70885F | California |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1013935923 |
|---|---|
| LBN Legal business name | Sac Health System |
| DBA Doing business as | Sac Arrowhead |
| Authorized official | Amick, Tasha |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Dec 19th, 2023 - about last year |
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 | 1013935923 | NPPES |
| California | Other | ENVOY3000 | ENVOY |
| California | Other | EAP70708F | ENVOY |
| California | MEDICAID | CMM70885F | ENVOY |
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