COMMUNITY HOSPITAL OF SAN BERNARDINO
Nursing Care, Pediatric
San Bernardino, California
Provider NPI: 1851395685
Organization Information:Organization Name: COMMUNITY HOSPITAL OF SAN BERNARDINO
Practice Location:
1676 MEDICAL CENTER DR SAN BERNARDINO, CA 92411 US
Tel: 909-887-6481 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:
1676 MEDICAL CENTER DR SAN BERNARDINO, CA 92411 US
Tel: 909-887-6481 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | CA | 240000185 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LTP40010F | CA | 05 | |
ZZT06107I | CA | 05 | |
LTC40010F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin