Organization
SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT
Active
Other names
Mountains Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVONNE D WAGGENER (CFO)
(909) 336-3651
Entity
Organization
Contact information
Practice address
29101 HOSPITAL RD, LAKE ARROWHEAD, CA 92352-0070
(909) 336-3651
(909) 336-1179
Mailing address
PO BOX 70, LAKE ARROWHEAD, CA 92352-0070
(909) 336-3651
(909) 336-1179
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
CGP160427
CA
282NC0060X
Critical Access Hospital
CGP171049
CA
282NC0060X
Critical Access Hospital
Primary
HSP30260I
CA
282NC0060X
Critical Access Hospital
HSP40260I
CA
282NC0060X
Critical Access Hospital
PHB366420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CGP160427
—
CA
05
—
CGP171049
—
CA
05
—
HSP30260I
—
CA
05
—
HSP40260I
—
CA
05
—
PHB366420
—
CA
Enumeration date
01/10/2007
Last updated
08/25/2023
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