Organization Name: | CENTRAL CITY COMMUNITY HEALTH CENTER |
NPI Number: | 1033488416 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON G FELIX (BILLING MANAGER) |
Mailing Address: | 1860 Hamner Ave Norco |
State: | CA US |
Postal Code: | 928602945 |
Phone Number: | 3237287355 |
Fax Number: | 3237211877 |
NPI Enumeration Date: | 12/14/2011 |
NPI Last Update Date: | 12/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |