| NPI | 1093226243 |
|---|---|
| Doing Business As | BLOOMINGTON COMMUNITY HEALTH CENTER - BUILDING 2 |
| Entity Type | Organization |
| Authorized Contact | VANESSA IVONNE ORTIZ Executive Assistant 951-571-2379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |