Organization
HOSPITAL OF BARSTOW INC
Active
Other names
Barstow Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OPERATIONS/AO)
(615) 221-3840
Entity
Organization
Contact information
Practice address
820 E MOUNTAIN VIEW ST, BARSTOW, CA 92311-3004
(760) 256-1761
(760) 957-3048
Mailing address
PO BOX 844809, DALLAS, TX 75284-4809
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
240000110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050298
BCBS
—
01
—
CGP167138
CA CHILDRENS SERVICE
CA
05
—
ZZT30298H IP
—
CA
05
—
ZZT40298H OP
—
CA
Enumeration date
01/30/2006
Last updated
09/03/2020
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