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FQHC638015 RIVERSIDE - SAN BERNARDINO COUNTY INDIAN HEALTH INC (Active)
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Main Details
Name
RIVERSIDE - SAN BERNARDINO COUNTY INDIAN HEALTH INC
Subdivision Name
Morongo Indian Health Clinic
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638015
Additional Details
Current Program Status
Active
Registration Date
1/1/1995
Participating Start Date
1/1/1995
Participating Approval Date
1/1/1995
Last Recertification Date
2/23/2025
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
11555 1/2 POTRERO RD
Banning, CA 92220
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
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