# GROSSMONT HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GROSSMONT HOSPITAL CORPORATION
- **Other names:** Sharp Grossmont Hospital SNF
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417930249
- **Legal business name:** GROSSMONT HOSPITAL CORPORATION
- **Authorized official:** SCOTT EVANS (CEO)
- **Authorized official phone:** (619) 740-4648

## Contact information

- **Practice address:** 5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
- **Practice address phone:** (619) 740-6000
- **Mailing address:** 8695 SPECTRUM CENTER BLVD, SAN DIEGO, CA 92123-1489
- **Mailing address phone:** (858) 499-3025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 080000006 | CA | Yes |

## Other

- **Enumeration date:** 11/25/2005
- **Last updated:** 03/04/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55572F | — | CA |