Organization
EMANATE HEALTH MEDICAL CENTER
Active
Parent organization
EMANATE HEALTH
Other names
CITRUS VALLEY MEDICAL CENTER INC, Emanate Health Inter-Community Hospital, Inter-Community Campus Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMANATE HEALTH
Authorized official
ROGER SHARMA (EXECUTIVE VP/CFO)
(626) 938-7595
Entity
Organization
Contact information
Practice address
210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
(626) 915-6273
(626) 859-5887
Mailing address
210 W SAN BERNARDINO RD, P.O. BOX 6108, COVINA, CA 91723-1515
(626) 915-6273
(626) 859-5887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
282N00000X
General Acute Care Hospital
Primary
HSP43961
CA
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT40382G
—
CA
Enumeration date
02/22/2007
Last updated
10/27/2020
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