H Street Clinic
Clinic/Center, Federally Qualified Health Center (FQHC) in San Bernardino, CA. Organization (NPI-2).
NPI number1306540463
StatusActive
Last updated in NPPESMar 30, 2023
Details
- NPI
- 1306540463
- Entity type
- Organization (NPI-2)
- Legal business name
- H Street Clinic
- Organization subpart
- Yes
- Enumeration date
- Mar 30, 2023
- Certification date
- Mar 30, 2023
- Last updated
- Mar 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Central Neighborhood Health Foundation - Mobile Care Clinic #1 (Doing Business As)
Practice location
1329 N H StSan Bernardino, CA 92405-5039
Phone 909-381-0803
Mailing address
2700 S Grand AveLos Angeles, CA 90007-3301
Phone 213-536-5815
Authorized official
Eleanor Perez
Coo
6264883111
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