Organization
SAC HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA AMICK (DIRECTOR OF BILLING)
(909) 382-7100
Entity
Organization
Contact information
Practice address
488 S K ST, SAN BERNARDINO, CA 92410-2641
(909) 382-7100
(909) 386-7910
Mailing address
488 S K ST, SAN BERNARDINO, CA 92410-2641
(909) 383-8092
(909) 386-7910
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
CMM70744F
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70744F
—
CA
Enumeration date
11/30/2011
Last updated
04/21/2025
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