MORONGO INDIAN HEALTH CLINIC
NPI 1841417300
Clinic/Center - Federally Qualified Health Center (FQHC) in Banning, CA

Active since April 19, 2007
11555 POTRERO RD, BANNING, CA 92220(951) 849-4761(951) 849-5612 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Morongo Indian Health Clinic NPPES

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

MORONGO INDIAN HEALTH CLINIC (NPI 1841417300) is a healthcare organization registered as a federally qualified health center (fqhc) in Banning, California and active in the NPI registry since April 2007. The organization lists Linwood J. Killam, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841417300
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
Location Address11555 POTRERO RDBanning, CA 92220-6946
Mailing Address11555 Potrero RdBanning, CA 92220-6946 · (951) 849-4761 · Fax (951) 849-5612
Fax(951) 849-5612
Organization SubpartNo
Authorized OfficialLinwood J. KillamCeo · (951) 849-4761
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1841417300 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
11555 POTRERO RD, Banning, CA 92220

Other Names 1

Doing Business AsMorongo Indian Health Clinic

Other Identifiers 1

MedicaidEAPC03854FCA

Other Providers at the Same Location NPPES 3

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

Optometrist
11555 POTRERO RD
BANNING, CA 92220
Nurse Practitioner (Family)
11555 POTRERO RD
BANNING, CA 92220
Counselor (Addiction (Substance Use Disorder))
11555 POTRERO RD
BANNING, CA 92220

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 1841417300. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as Morongo Indian Health Clinic.

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

Riverside-San Bernardino County Indian Health, Inc. is located at 11555 Potrero Rd, Banning, CA 92220. The listed phone number is (951) 849-4761.

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 August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.