Organization
SAN ANTONIO REGIONAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAH-CHUNG HSU (V.P. FINANCE/CFO)
(909) 920-6103
Entity
Organization
Contact information
Practice address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 985-2811
(909) 949-1774
Mailing address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 985-2811
(909) 949-1774
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
240000196
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZT30099F (IP)
MEDICAID
—
01
—
ZZT40099F(OP)
MEDICAID
—
Enumeration date
06/30/2005
Last updated
02/23/2016
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