Organization
GROSSMONT HOSPITAL CORPORATION
Active
Parent organization
GROSSMONT HOSPITAL CORPORATION
Other names
Grossmont Hospital Outpatient Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
GROSSMONT HOSPITAL CORPORATION
Authorized official
SCOTT EVANS (CEO)
(619) 740-4648
Entity
Organization
Contact information
Practice address
5555 GROSSMONT CENTER DR # A217, LA MESA, CA 91942-3019
(619) 740-4458
(619) 740-4266
Mailing address
5555 GROSSMONT CENTER DR, A217, LA MESA, CA 91942-3019
(619) 740-4458
(619) 740-4266
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53675
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158472
PK
—
Enumeration date
03/04/2016
Last updated
02/27/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us