Organization
EMANATE HEALTH MEDICAL CENTER
Active
Parent organization
EMANATE HEALTH
Other names
CITRUS VALLEY MEDICAL CENTER INC, Emanate Health Inter-Community Hospital, Citrus Valley Medical Center Inter-Community Campus
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) 331-7331
Mailing address
PO BOX 840145, LOS ANGELES, CA 90084-0145
(626) 732-3100
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002
BLUE CROSS SO CALIFORNIA
CA
05
—
HSC30382G
—
CA
05
—
HSM30382G
—
CA
05
—
ZZT30382F
—
CA
05
—
ZZT40382G
—
CA
01
—
ZZZC1911Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
07/13/2006
Last updated
03/22/2021
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