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SAN GORGONIO MEMORIAL HOSPITAL NPI 1568469997


NPI Information

NPI: 1568469997
Provider Name: SAN GORGONIO MEMORIAL HOSPITAL
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
600 N HIGHLAND SPRINGS AVE
BANNING, CA
ZIP 92220
Phone: (951) 845-1121
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SAN GORGONIO MEMORIAL HOSPITAL is a general acute care hospital in Banning, CA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. SAN GORGONIO MEMORIAL HOSPITAL NPI is 1568469997. The provider is registered as an organization entity type.

The provider's business location address is:

600 N HIGHLAND SPRINGS AVE
BANNING, CA
ZIP 92220-046
Phone: (951) 845-1121
Fax: (951) 769-0431

The provider's authorized official is Mayda L. Brown .
The authorized official title is Director Pt. Fin. Svc. and has the following contact phone number (951) 769-2170.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 11/13/2013.


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
1282N00000XGeneral Acute Care Hospital250001199CALIFORNIAYes

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
1HSC30054GOTHERCALIFORNIAMEDICAID IP PROV
2050054OTHERCALIFORNIAMEDICARE PROVIDER NUMBER
3ZZT30054GMEDICAIDCALIFORNIA
4ZZT40054GMEDICAIDCALIFORNIA
5ZZT30054GOTHERCALIFORNIAMEDICAID INPT PROV NUMBER
6ZZT40054GOTHERCALIFORNIAMEDICAID OP PROVIDER NO
7050054MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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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