# RIVERSIDE COUNTY REGIONAL MEDICAL CENTER

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

## Provider details

- **NPI number:** 1609240407
- **Authorized official:** DR. GREGORY PROUTY PHARMD (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (951) 486-4000

## Contact information

- **Practice address:** 1646 N PALM AVE, UPLAND, CA 91784-1922
- **Practice address phone:** (909) 579-9944
- **Mailing address:** 1646 N PALM AVE, UPLAND, CA 91784-1922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 69547 | CA | Yes |

## Other

- **Enumeration date:** 11/18/2015
- **Last updated:** 11/18/2015