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FQHC638365 Riverside - San Bernardino County Indian Health, Inc. (Active)
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Main Details
Name
Riverside - San Bernardino County Indian Health, Inc.
Subdivision Name
SOBOBA INDIAN HEALTH CLINIC
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638365
Additional Details
Current Program Status
Active
Registration Date
7/1/1996
Participating Start Date
7/1/1996
Participating Approval Date
7/1/1996
Last Recertification Date
2/27/2025
Contacts
Authorizing Official
Riverside-San Bernardino County Indian Health, Inc.
Bill Thomsen, CEO
(909) 864-1097 Ext: 4703
Primary Contact
Riverside-San Bernardino County Indian Health, Inc.
Jeevan s Dhouni, Pharmacy Director
(909) 864-1097 Ext: 4776
Addresses
Street Address
23119 Soboba Rd
SAN JACINTO, CA 92583
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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