Organization
GROSSMONT HOSPITAL CORPORATION
Active
Parent organization
GROSSMONT HOSPITAL CORPORATION
Other names
Sharp Grossmont Hospital SNF
Organization subpart
Yes
Provider details
NPI number
Legal business name
GROSSMONT HOSPITAL CORPORATION
Authorized official
SCOTT EVANS (CEO)
(619) 740-4648
Entity
Organization
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-6000
Mailing address
8695 SPECTRUM CENTER BLVD, SAN DIEGO, CA 92123-1489
(858) 499-3025
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55572F
—
CA
Enumeration date
11/25/2005
Last updated
03/04/2019
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