Organization
COMMUNITY HOSPITAL OF SAN BERNARDINO
Active
Parent organization
COMMUNITY HOSPITAL OF SAN BERNARDINO
Other names
COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HOSPITAL OF SAN BERNARDINO
Authorized official
MR. ED SORENSON (V.P. FIANANCE, CFO)
(909) 887-6333
Entity
Organization
Contact information
Practice address
1676 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411-1213
(909) 887-6481
(909) 887-3858
Mailing address
1676 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411-1213
(909) 887-6481
(909) 887-3858
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
240000185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC40010F
—
CA
05
—
LTP40010F
—
CA
05
—
ZZT06107I
—
CA
Enumeration date
06/09/2005
Last updated
09/23/2013
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