Organization
SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT
Active
Parent organization
SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITALS DISTRICT
Other names
Mountains Community Hospital Rural Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITALS DISTRICT
Authorized official
MS. YVONNE D WAGGENER (CFO)
(909) 336-3651
Entity
Organization
Contact information
Practice address
29099 HOSPITAL ROAD, #200, LAKE ARROWHEAD, CA 92352
(909) 336-9715
(909) 336-5751
Mailing address
PO BOX 70, LAKE ARROWHEAD, CA 92352-0070
(909) 336-9715
(909) 336-5751
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
RHM18535F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP18535F
—
CA
01
—
O58535
MEDICARE
—
05
—
RHM18535F
—
CA
Enumeration date
08/18/2006
Last updated
08/25/2023
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