# COMMUNITY HOSPITAL OF SAN BERNARDINO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235290818
- **Authorized official:** DARRYL VANDENBOSCH (CFO)
- **Authorized official phone:** (909) 881-7196

## Contact information

- **Practice address:** 1805 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411-1217
- **Practice address phone:** (909) 887-6333
- **Practice address fax:** (909) 806-1017
- **Mailing address:** 1805 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411-1217
- **Mailing address phone:** (909) 887-6333
- **Mailing address fax:** (909) 806-1017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273R00000X | Psychiatric Hospital Unit | 240000198 | CA | — |
| 282N00000X | General Acute Care Hospital | 240000198 | CA | Yes |
| 314000000X | Skilled Nursing Facility | 240000198 | CA | — |
| 3336I0012X | Institutional Pharmacy | HSP37939 | CA | — |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 01/26/2015
