# SAN GORGONIO MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1568469997
- **Authorized official:** MS. MAYDA L. BROWN (DIRECTOR PT. FIN. SVC.)
- **Authorized official phone:** (951) 769-2170

## Contact information

- **Practice address:** 600 N HIGHLAND SPRINGS AVE, BANNING, CA 92220-3046
- **Practice address phone:** (951) 845-1121
- **Practice address fax:** (951) 769-0431
- **Mailing address:** 600 N HIGHLAND SPRINGS AVE, BANNING, CA 92220-3046
- **Mailing address phone:** (951) 845-1121
- **Mailing address fax:** (951) 769-0431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 250001199 | CA | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 11/13/2013