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Organization

CENTRAL NEIGHBORHOOD HEALTH FOUNDATION - BASE LINE SAN BERNARDINO

Active
Parent organization
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
Authorized official
NUSRATH FATIMA JAHANGIR VN (COO)
(310) 962-8970
Entity
Organization

Contact information

Practice address
1574 W BASE LINE ST, SAN BERNARDINO, CA 92411-1777
(909) 386-1880
Mailing address
1574 W BASE LINE ST, SAN BERNARDINO, CA 92411-1777
(909) 386-1880

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Enumeration date
02/09/2018
Last updated
02/09/2018
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