# SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITALS DISTRICT
- **Other names:** Mountains Community Hospital Rural Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528172541
- **Legal business name:** SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITALS DISTRICT
- **Authorized official:** MS. YVONNE D WAGGENER (CFO)
- **Authorized official phone:** (909) 336-3651

## Contact information

- **Practice address:** 29099 HOSPITAL ROAD, \#200, LAKE ARROWHEAD, CA 92352
- **Practice address phone:** (909) 336-9715
- **Practice address fax:** (909) 336-5751
- **Mailing address:** PO BOX 70, LAKE ARROWHEAD, CA 92352-0070
- **Mailing address phone:** (909) 336-9715
- **Mailing address fax:** (909) 336-5751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | RHM18535F | CA | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 08/25/2023