Healthcare Provider Details

I. General information

NPI: 1235309485
Provider Name (Legal Business Name): COUNTY OF SAN BERNARDINO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 03/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13205 MARKET STREET
TRONA CA
93562-1918
US

IV. Provider business mailing address

351 NORTH MOUNTAIN VIEW AVENUE ROOM 303
SAN BERNARDINO CA
92415-0010
US

V. Phone/Fax

Practice location:
  • Phone: 760-372-5473
  • Fax:
Mailing address:
  • Phone: 909-387-6219
  • Fax: 909-387-6228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES L LINDLEY
Title or Position: INTERIM PUBLIC HEALTH DIRECTOR
Credential:
Phone: 909-387-9146