Organization
SAC HEALTH SYSTEM
Active
Parent organization
SAC HEALTH SYSTEM
Other names
SAC Barstow 102
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAC HEALTH SYSTEM
Authorized official
TASHA AMICK (DIRECTOR OF BILLING)
(909) 219-8665
Entity
Organization
Contact information
Practice address
801 E MOUNTAIN VIEW ST # 102, BARSTOW, CA 92311-3053
(909) 382-7100
(909) 382-7101
Mailing address
250 S G ST, SAN BERNARDINO, CA 92410-3320
(909) 382-7100
(909) 382-7101
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/13/2023
Last updated
04/21/2025
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