Organization
GROSSMONT HOSPITAL CORPORATION
Active
Parent organization
GROSSMONT HOSPITAL CORPORATION
Other names
SHARP HOME INFUSION SERVICES
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
3558 RUFFIN RD STE 100, SAN DIEGO, CA 92123-2596
(858) 627-5600
(858) 627-5610
Mailing address
3558 RUFFIN RD STE 100, SAN DIEGO, CA 92123-2596
(858) 627-5600
(858) 627-5610
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY43865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2114095
PK
—
05
—
PHA392720
—
CA
Enumeration date
01/10/2006
Last updated
03/15/2019
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