Sac Mobile Unit #1

LBN: Sac Health System
Sac Mobile Unit #1 is an health care organization with primary practice located at 250 S G St , San Bernardino CA 92410-3320. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Dental, 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
250 S G St San Bernardino CA 92410-3320
Fax: (909) 382-7100
Website:
Authorized official contact:
Name: Amick, Tasha

Profile Details

NPI number 1437784410
LBN Legal business name Sac Health System
DBA Doing business as Sac Mobile Unit #1
Authorized official Amick, Tasha
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 10th, 2020
Last updated Sep 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437784410 NPPES
California Other EAP70708F EAPC
California MEDICAID CMM70708F EAPC
California Other ENVOY3000 EAPC

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