Provider Demographics
NPI:1235022377
Name:OASIS HEALTH CLINIC
Entity type:Organization
Organization Name:OASIS HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WHIMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-881-4376
Mailing Address - Street 1:399 E HIGHLAND AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92404-3852
Mailing Address - Country:US
Mailing Address - Phone:909-881-4376
Mailing Address - Fax:
Practice Address - Street 1:399 E HIGHLAND AVE STE 301
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-3852
Practice Address - Country:US
Practice Address - Phone:909-881-4376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)