# PRIME HEALTHCARE SERVICES - SAN DIMAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Dimas Community Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740447945
- **Authorized official:** MISS CHRISTOPHER DOAN (CHIEF COMPLIANCE COUNSEL)
- **Authorized official phone:** (909) 235-4307

## Contact information

- **Practice address:** 1350 W COVINA BLVD, SAN DIMAS, CA 91773-3245
- **Practice address phone:** (909) 599-6811
- **Mailing address:** 3300 EAST GUASTI ROAD, 3RD FLOOR, CHINO, CA 91710-8655
- **Mailing address phone:** (909) 235-4327
- **Mailing address fax:** (909) 235-4316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2008
- **Last updated:** 06/28/2017
