Impact Network
LBN: Impact Network
Impact Network is an health care organization with primary practice located at 2282 Pumalo St , San Bernardino CA 92404-3564. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Supports Brokerage, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Transportation Services / Transportation Broker. Agencies / Case Management is the primary health care specialty.
Impact Network can be contacted via phone (909) 653-2484, or through Tolbert, Keith via phone (909) 478-4727.
Contact Information
Primary practice address
2282 Pumalo St
San Bernardino CA 92404-3564
Phone: (909) 653-2484
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Agencies / Supports Brokerage | 251X00000X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | ||
| Transportation Services / Transportation Broker | 347E00000X |
Profile Details
| NPI number | 1346127420 |
|---|---|
| LBN Legal business name | Impact Network |
| DBA Doing business as | |
| Authorized official | Tolbert, Keith |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 19th, 2025 |
| Last updated | Aug 19th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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