Morango Indian Clinic Pharmacy

LBN: Riverside San Bernardino County Indian Health Inc
Morango Indian Clinic Pharmacy is an health care organization with primary practice located at 11555 1/2 Potrero Rd , Banning CA 92220-6946. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Riverside San Bernardino County Indian Health Inc can be contacted via phone (951) 849-4761, or through Yoon, Sue via phone (909) 864-1097.

Contact Information

Primary practice address
11555 1/2 Potrero Rd Banning CA 92220-6946
Phone: (951) 849-4761
Fax: (951) 849-0681
Website:
Map and Directions
Authorized official contact:
Name: Yoon, Sue BS
Phone: (909) 864-1097

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PHY32790 California
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1902954944
LBN Legal business name Riverside San Bernardino County Indian Health Inc
DBA Doing business as Morango Indian Clinic Pharmacy
Authorized official Yoon, Sue BS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Mar 29th, 2017 - about 9 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1902954944 NPPES
Other 1998432 PK
MEDICAID FHC03854 PK

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