SANTA ROSA INDIAN HEALTH CLINIC
NPI 1366028086
Clinic/Center - Federally Qualified Health Center (FQHC) in Mountain Center, CA

Q: What is Riverside-San Bernardino County Indian Health, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since March 23, 2021

65175 ST. HIGHWAY 74, MOUNTAIN CENTER, CA 92561(951) 823-8882(951) 225-6879 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2021, Aug 25, 2021, Mar 23, 2021 (3 updates tracked since 2021).

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About Santa Rosa Indian Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA ROSA INDIAN HEALTH CLINIC (NPI 1366028086) is a healthcare organization registered as a federally qualified health center (fqhc) in Mountain Center, California and active in the NPI registry since March 2021. The organization lists William Thomsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366028086

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameRIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC

Location Address65175 ST. HIGHWAY 74Mountain Center, CA 92561-9231

Mailing Address11980 Mount Vernon AveGrand Terrace, CA 92313-5172 · (909) 864-1097 · Fax (951) 225-6879

Phone(951) 823-8882

Fax(951) 225-6879

Organization SubpartNo

Authorized OfficialWilliam ThomsenCeo · (909) 864-1097

Enumeration DateMarch 23, 2021

Last NPPES UpdateSeptember 16, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2021

✔ NPI 1366028086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

65175 ST. HIGHWAY 74, Mountain Center, CA 92561

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Other Names 1

Doing Business AsSanta Rosa Indian Health Clinic

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside-San Bernardino County Indian Health, Inc's NPI number?

The NPI number for Riverside-San Bernardino County Indian Health, Inc is 1366028086. It was assigned to this organization in the NPPES registry on March 23, 2021. The provider is doing business as Santa Rosa Indian Health Clinic.

Where is Riverside-San Bernardino County Indian Health, Inc located?

Riverside-San Bernardino County Indian Health, Inc is located at 65175 St. Highway 74, Mountain Center, CA 92561. The listed phone number is (951) 823-8882.

What is Riverside-San Bernardino County Indian Health, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Riverside-San Bernardino County Indian Health, Inc was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.