Sac Health System
Clinic/Center, Federally Qualified Health Center (FQHC) in San Bernardino, CA. Organization (NPI-2).
NPI number1982164877
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1982164877
- Entity type
- Organization (NPI-2)
- Legal business name
- Sac Health System
- Organization subpart
- No
- Enumeration date
- Mar 25, 2019
- Certification date
- Apr 21, 2025
- Last updated
- Apr 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- Sac Sbusd Resource Center (Doing Business As)
Practice location
781 W 2nd St Ste ASan Bernardino, CA 92410-3279
Phone 909-382-7100 · Fax 909-382-7101
Mailing address
250 S G StSan Bernardino, CA 92410-3320
Phone 909-382-7100 · Fax 909-382-7101
Authorized official
Tasha Amick
Director Of Billing
9093827100
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