| Organization Name: | SAC HEALTH SYSTEM |
| NPI Number: | 1013935915 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TASHA AMICK (DIR. OF BILLING) |
| Mailing Address: | 1454 E 2nd St San Bernardino |
| State: | CA US |
| Postal Code: | 924080118 |
| Phone Number: | 9093827100 |
| Fax Number: | 9093827136 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | CMM70708F |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |