Organization
GROSSMONT HOSPITAL CORPORATION
Active
Other names
Sharp Grossmont Hospital
Organization subpart
No
Provider details
NPI number
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
(858) 499-4738
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
080000006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050026
BLUE CROSS
CA
01
—
350160
CCS
CA
05
—
HSC30026G
—
CA
05
—
ZZT30222G
—
CA
05
—
ZZT40026G
—
CA
01
—
ZZZA3704Z
BLUE SHIELD
CA
Enumeration date
11/21/2005
Last updated
08/19/2015
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