SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT
Long Term Care Hospital
Lake Arrowhead, California
Provider NPI: 1174674246
Organization Information:Organization Name: SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT
Practice Location:
29101 HOSPITAL RD LAKE ARROWHEAD, CA 92352 US
Tel: 909-336-3651 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
29101 HOSPITAL RD LAKE ARROWHEAD, CA 92352 US
Tel: 909-336-3651 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | CA | LTC55467F |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LTC55467F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin