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RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC

Medical Equipment Supplier Yellow Pages

Grand Terrace, California

Provider NPI: 1174724637

Organization Information:
Organization Name:  RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC


Practice Location:
11980 MOUNT VERNON AVE  GRAND TERRACE, CA 92313 US
Tel: 909-864-1097  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y332800000XSuppliers
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
CAPHY52145

Other Provider Identifiers:

IssuerNumberStateType
PK199398301
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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