# EMANATE HEALTH MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EMANATE HEALTH
- **Other names:** CITRUS VALLEY MEDICAL CENTER INC, Emanate Health Inter-Community Hospital, Inter-Community Campus Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669507620
- **Legal business name:** EMANATE HEALTH
- **Authorized official:** ROGER SHARMA (EXECUTIVE VP/CFO)
- **Authorized official phone:** (626) 938-7595

## Contact information

- **Practice address:** 210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
- **Practice address phone:** (626) 915-6273
- **Practice address fax:** (626) 859-5887
- **Mailing address:** 210 W SAN BERNARDINO RD, P.O. BOX 6108, COVINA, CA 91723-1515
- **Mailing address phone:** (626) 915-6273
- **Mailing address fax:** (626) 859-5887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 282N00000X | General Acute Care Hospital | HSP43961 | CA | Yes |
| 282N00000X | General Acute Care Hospital | — | NULL | — |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 10/27/2020