Bloomington Community Health Center is a Dental Clinic in Bloomington, California. It is located at 18601 Valley Blvd, Bloomington, CA and its contact number is 909-546-7520. The authorized person for Bloomington Community Health Center is Lori Nanette Holeman
who is Ceo of the clinic and their contact number is 951-571-2300. The primary license number for Bloomington Community Health Center is 240000086 (Federally Qualified Health Center (FQHC)) in California. Bloomington Community Health Center Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Bloomington Community Health Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Bloomington Community Health Center
Specialization:
Dentistry
Clinic Address:
18601 Valley Blvd, Bloomington, California, 92316-1831
Phone:
909-546-7520
Fax:
909-877-5468
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Lori Nanette Holeman
Position:
Ceo
Contact Number:
951-571-2300
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Bloomington Community Health Center clinic are as mentioned below.
NPI Number:
1487706347
NPI Enumeration Date:
18 Jan, 2007
NPI Last Update On:
18 Mar, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bloomington Community Health Center are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
240000086
California
Primary
Dentist
40093
California
Secondary
General Practice
46894
California
Secondary
General Practice
40996
California
Secondary
Pediatric Dentistry
47987
California
Secondary
Optometrist
OPT12626TPA
California
Secondary
Family Medicine
387455
California
Secondary
Family Medicine
A98737
California
Secondary
Family Medicine
A110976
California
Secondary
Family Medicine
A87726
California
Secondary
Family Medicine
506572
California
Secondary
Family Medicine
A1157855
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
FHC70324F
Medicaid
California
EAP70324F
Medicaid
California
HAP70324F
Medicaid
California
NPI 1487706347
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Bloomington Community Health Center 21801 Alessandro Blvd, Moreno Valley, California
Zip:
92553-8202
Phone Number:
951-571-2300
Fax Number:
951-571-2330
Patients can reach Bloomington Community Health Center at 18601 Valley Blvd, Bloomington, California or can call to book an appointment on 909-546-7520. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.