Sac San Bernardino Campus
LBN: Sac Health System
Sac San Bernardino Campus is an health care organization with primary practice located at 250 South G Street , San Bernardino CA 92410. The organization recently has 4 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 / Mental Health (Including Community Mental Health Center). 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 South G Street
San Bernardino CA 92410
Phone: (909) 382-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | CMM70708F | California |
| Ambulatory Health Care Facilities / Dental | 261QD0000X | G91341 | California |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | CMM70708F | California |
Profile Details
| NPI number | 1801270137 |
|---|---|
| LBN Legal business name | Sac Health System |
| DBA Doing business as | Sac San Bernardino Campus |
| Authorized official | Amick, Tasha |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 16th, 2015 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801270137 | NPPES |
| California | Other | EAP70708F | EAPC |
| California | MEDICAID | CMM70708F | EAPC |
| California | Other | ENVOY3000 | EAPC |
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