| NPI | 1487706347 |
|---|---|
| Doing Business As | BLOOMINGTON COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LORI NANETTE HOLEMAN CEO 951-571-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 240000086) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 40093) |
| 1223G0001X Dentist, General Practice (Licence: CA 46894) | |
| 1223G0001X Dentist, General Practice (Licence: CA 40996) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 47987) | |
| 152W00000X Optometrist (Licence: CA OPT12626TPA) | |
| 207Q00000X Family Medicine (Licence: CA 387455) | |
| 207Q00000X Family Medicine (Licence: CA A98737) | |
| 207Q00000X Family Medicine (Licence: CA A110976) | |
| 207Q00000X Family Medicine (Licence: CA A87726) | |
| 207Q00000X Family Medicine (Licence: CA 506572) | |
| 207Q00000X Family Medicine (Licence: CA A1157855) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-03-18 |