INLAND BEHAVIORAL AND HEALTH SERVICES, INC. (NPI# 1578823647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578823647 |
| Entity Type | Organization |
| Organization Name | INLAND BEHAVIORAL AND HEALTH SERVICES, INC. |
| Other Organization Name | INLAND BEHAVIORAL AND HEALTH SERVICES, INC. |
| Practice Address |
1070 E. Ramsey Steet Banning CA 92220-0998 |
| Mailing Address |
1963 N E St San Bernardino CA 92405-3919 |
| Practice Telephone | 9518462560 |
| Practice Fax Number | 9518492310 |
| Mailing Telephone | 9098816146 |
| Mailing Fax Number | 9098813479 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2017-07-19 |
| Authorized Official Name | DR. TEMETRY A. LINDSEY (CEO/PRESIDENT) |
| Authorized Official Telephone | 9097088158 |
| Is Organization Subpart | Y |
| Parent Organization Name | INLAND BEHAVIORAL AND HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC 70520F | 05 |
| Other Name | Type Code |
|---|---|
| Banning Family Community Health Center | Doing Business As Name - Organization |
| Inland Behavioral and Health Services, Inc. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659786721 | Inland Behavioral and Health Services, Inc. | Pharmacy | 1070 E Ramsey St Ste C, Banning, CA 92220-5924 | 2014-06-26 |
| 1942482104 | Inland Behavioral and Health Services, Inc. | Pharmacy | 665 N D St Ste H, San Bernardino, CA 92401-1109 | 2007-11-29 |
| 1275734469 | Inland Behavioral and Health Services, Inc. | Counselor | 1963 N E St, San Bernardino, CA 92405-3919 | 2007-05-29 |
| 1275562969 | Inland Behavioral and Health Services, Inc. | Clinic/Center | 665 N D St, San Bernardino, CA 92401-1109 | 2006-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INLAND BEHAVIORAL AND HEALTH SERVICES, INC. | 1963 N E St, San Bernardino, CA 92405-3919 |
| Street Address |
1070 E. RAMSEY STEET |
| City | BANNING |
| State | CA |
| Zip Code | 92220-0998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
| 1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
| 1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
| 1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
| 1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
| 1861810244 | Genevra Diana Glenn | Counselor | 2781 W Ramsey, Suite 1, Banning, CA 92220 | 2014-04-02 |
| 1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
| 1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
| 1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
| 1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
| Find all providers in zip 92220 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1841417300 | Riverside-san Bernardino County Indian Health, Inc. | Clinic/Center | 11555 Potrero Rd, Banning, CA 92220-6946 | 2007-04-19 |
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| 1720178478 | Riverside/san Bernardino County Indian Health, Inc. | Clinic/Center | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2006-10-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.