Inland Empire Job Corps Center

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

G53297 Issued in CA

Legal business name

INLAND EMPIRE JOB CORPS CENTER

Practice address

3173 Kerry St
Health & Wellness Department
San Bernardino, CA 92407-6325

Phone

(909) 887-7105

Fax

(909) 473-1510

NPI assigned

May 12, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Linda Stull

Title

Center Director

Phone

(909) 887-7146

Specialties & licenses 1

Addresses

Other names 1

• Management and Training Corporation Other name

Tax ID family

Clearfield Job Corps Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Clearfield Job Corps Pharmacy

  • Institutional Pharmacy
  • Clearfield, UT
  • NPI 1871514844
  NPD tax ID
• Management & Training Corporation

  • Community/Behavioral Health Agency
  • Minot, ND
  • NPI 1881316578
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1922326180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 KERRY ST",
            "address_2": "HEALTH & WELLNESS DEPARTMENT",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924076325",
            "telephone_number": "909-887-7105",
            "fax_number": "909-473-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3173 KERRY ST",
            "address_2": "HEALTH & WELLNESS DEPARTMENT",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924076325",
            "telephone_number": "909-887-7105",
            "fax_number": "909-473-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE JOB CORPS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "STULL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "909-887-7146",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": "G53297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Management and Training Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Inland Empire Cardiovascular Consultants, Inc.
• Inland Empire Community Outreach Center
• Inland Empire Counseling
• Inland Empire Health Centers
• Inland Empire Health Centers
• Inland Empire Medical Imaging LLC
• Inland Empire Medical Network
• Inland Empire Outpatient Surgery Center
• Inland Empire Pain Management
• Inland Empire Pharmacy Services Inc

• Student Health Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Student Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.