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Organization

EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL

Active
Parent organization
EMANATE HEALTH
Other names
Foothill Presbyterian Hospital, Foothill Presbyterian Hospital Morris L. Johnston Memorial
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
250 S GRAND AVE, GLENDORA, CA 91741-4218
(626) 963-8411
Mailing address
PO BOX 840149, LOS ANGELES, CA 90084-0149
(626) 732-3100
(626) 732-3195

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1026
BLUE CROSS SO CAL
CA
05
HSC30597F
CA
05
ZZT30597F
CA
05
ZZT40597F
CA
01
ZZZA1988Z
BLUE SHIELD CA
CA
Enumeration date
06/30/2006
Last updated
10/27/2020
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