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SAC HEALTH SYSTEM
NPI 1386299204
Clinic/Center - Federally Qualified Health Center (FQHC) in Indio, CA

Active since August 07, 2019
84110 MANILA AVE # B, INDIO, CA 92201(909) 382-7100 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 1, 2022, Mar 10, 2020, Aug 7, 2019 (3 updates tracked since 2019).

About Sac Health System NPPES

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

SAC HEALTH SYSTEM (NPI 1386299204), doing business as Sac Indio Cvrm Manila, is a healthcare organization registered as a federally qualified health center (fqhc) in Indio, California and active in the NPI registry since August 2019. The organization lists Tasha Amick, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1386299204
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSAC HEALTH SYSTEM
Location Address84110 MANILA AVE # BIndio, CA 92201-7128
Mailing Address250 S G StSan Bernardino, CA 92410-3320 · (909) 382-7100 · Fax (909) 382-7101
Phone(909) 382-7100
Organization SubpartNo
Authorized OfficialTasha AmickDirector Of Billing · (909) 382-7100
Enumeration DateAugust 7, 2019
Last NPPES UpdateApril 21, 20253 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1386299204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
84110 MANILA AVE # B, Indio, CA 92201
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Other Names 1

Doing Business AsSac Indio Cvrm Manila

Other Identifiers 3

MedicaidCMM70708FCA
OtherEAP70708FCA · Eapc
OtherENVOY3000CA · Envoy Site Id

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA HEMEN-ACKAH
Counselor (Mental Health)
84110 MANILA AVE # B
INDIO, CA 92201
Riverside County (760) 477-0733

Frequently Asked Questions

What is SAC HEALTH SYSTEM's NPI number?

The NPI number assigned to this healthcare provider is 1386299204, enumerated as an "organization" on August 07, 2019.

Where is the provider located?

The provider is located at 84110 MANILA AVE # B INDIO, CA 92201 and the phone number is (909) 382-7100.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

What insurance does SAC HEALTH SYSTEM accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.