THC - ORANGE COUNTY, LLC
Long Term Care Hospital
Ontario, California
Provider NPI: 1043395742
Organization Information:Organization Name: THC - ORANGE COUNTY, LLC
Practice Location:
550 N MONTEREY AVE ONTARIO, CA 91764 US
Tel: 909-391-0333 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:
550 N MONTEREY AVE ONTARIO, CA 91764 US
Tel: 909-391-0333 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | CA | 240000561 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
HSP30041K | CA | 05 | |
BLUE CROSS | ZZZ94036Z | CA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin