# MT. VERNON COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144517863
- **Authorized official:** RUZAN GEVORKYAN (PRESIDENT/CEO)
- **Authorized official phone:** (909) 586-6271

## Contact information

- **Practice address:** 1655 N MOUNT VERNON AVE, SUITE C, SAN BERNARDINO, CA 92411-1427
- **Practice address phone:** (909) 586-6271
- **Practice address fax:** (888) 777-0807
- **Mailing address:** 1655 N MOUNT VERNON AVE, SUITE C, SAN BERNARDINO, CA 92411-1427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | CA | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | CA | — |

## Other

- **Enumeration date:** 07/01/2011
- **Last updated:** 07/01/2011