Organization Name: | SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT |
NPI Number: | 1528172541 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIM HOSS (CEO) |
Mailing Address: | 29099 Hospital Road #200 Lake Arrowhead |
State: | CA US |
Postal Code: | 92352 |
Phone Number: | 9093369715 |
Fax Number: | 9093365751 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 07/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | RHM18535F |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |