MAIN STREET HESPERIA CENTER – NPI #1154539765
Clinic/Center

MAIN STREET HESPERIA CENTER is an AHC clinic located in HESPERIA, CA. NPPES has assigned the NPI number 1154539765 to MAIN STREET HESPERIA CENTER on May 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MAIN STREET HESPERIA CENTER” is a dba name, the actual legal business name for this organization is COUNTY OF SAN BERNARDINO. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 17 years ago on Sep 24, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAIN STREET HESPERIA CENTER below.

NPI Profile for
COUNTY OF SAN BERNARDINO

NPI Number
1154539765
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COUNTY OF SAN BERNARDINO
Doing Business As (dba): MAIN STREET HESPERIA CENTER
Primary location
14628 MAIN STREET
HESPERIA, CA 92345
Phone: (909) 382-3080 Fax: (909) 382-3105
Mailing address
268 W HOSPITALITY LANE
SUITE 400
SAN BERNARDINO, CA 92415-0026
Phone: (909) 382-3080 Fax: (909) 382-3105
Organization Subpart
Yes - MAIN STREET HESPERIA CENTER is subpart of another organization.
Authorized Official
MICHAEL DAY
INFORMATION TECHNOLOGY MANAGER
Phone: (909) 388-0570
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)		 CA ZZZ74743Z

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.