Organization
COMMUNITY HOSPITAL OF SAN BERNARDINO
Active
Parent organization
COMMUNITY HOSPITAL OF SAN BERNARDINO
Other names
Community Home Health of San Bernardino
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HOSPITAL OF SAN BERNARDINO
Authorized official
ED SORENSON (CFO)
(909) 806-1100
Entity
Organization
Contact information
Practice address
1805 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411-1217
(909) 887-6391
(909) 806-1059
Mailing address
1805 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411-1217
(909) 887-6391
(909) 806-1059
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
240000749
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA07432H
—
CA
01
—
ZZZ02772Z
BLUE SHIELD
CA
Enumeration date
12/11/2006
Last updated
09/11/2013
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