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SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT NPI 1174674246


NPI Information

NPI: 1174674246
Provider Name: SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT

Doing Business As: MOUNTAINS COMMUNITY HOSPITAL

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization
Address:
29101 HOSPITAL RD
LAKE ARROWHEAD, CA
ZIP 92352
Phone: (909) 336-3651
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SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT is a long term care hospital in Lake Arrowhead, CA. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT NPI is 1174674246. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountains Community Hospital.

The provider's business location address is:

29101 HOSPITAL RD
LAKE ARROWHEAD, CA
ZIP 92352-070
Phone: (909) 336-3651
Fax: (909) 336-4730

The provider's authorized official is Yvonne D Waggener .
The authorized official title is Cfo and has the following contact phone number (909) 336-3651.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282E00000XLong Term Care HospitalLTC55467FCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LTC55467FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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