NPI: 1851395685
Provider Name: COMMUNITY HOSPITAL OF SAN BERNARDINO
Doing Business As: COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization
Specialization: Nursing Care, Pediatric
CLIA Number: 05D0575263
Address:
1676 MEDICAL CENTER DR
SAN BERNARDINO, CA
ZIP 92411
Phone: (909) 887-6481
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COMMUNITY HOSPITAL OF SAN BERNARDINO is a nursing care and pediatric skilled nursing facility in San Bernardino, CA. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. COMMUNITY HOSPITAL OF SAN BERNARDINO NPI is 1851395685. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Convalescent Center Of San Bernardino.
The provider's business location address is:
1676 MEDICAL CENTER DR
SAN BERNARDINO, CA
ZIP 92411-213
Phone: (909) 887-6481
Fax: (909) 887-3858
The provider's authorized official is Ed Sorenson .
The authorized official title is V.p. Fianance, Cfo and has the following contact phone number (909) 887-6333.
The CLIA number assigned to this NPI record is 05D0575263 - hospital with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/9/2005 and was last updated on 9/23/2013.