Mountains Community Hospital Rural Health Clinic

LBN: San Bernardino Mountains Community Hospital District
Mountains Community Hospital Rural Health Clinic is an health care organization with primary practice located at 29099 Hospital Road #200, Lake Arrowhead CA 92352. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. San Bernardino Mountains Community Hospital District can be contacted via phone (909) 336-9715, or through Waggener, Yvonne D via phone (909) 336-3651.

Contact Information

Primary practice address
29099 Hospital Road #200 Lake Arrowhead CA 92352
Phone: (909) 336-9715
Fax: (909) 336-5751
Website:
Map and Directions
Authorized official contact:
Name: Waggener, Yvonne D
Phone: (909) 336-3651

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X RHM18535F California

Profile Details

NPI number 1528172541
LBN Legal business name San Bernardino Mountains Community Hospital District
DBA Doing business as Mountains Community Hospital Rural Health Clinic
Authorized official Waggener, Yvonne D
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 18th, 2006
Last updated Aug 25th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528172541 NPPES
Other O58535 MEDICARE
MEDICAID HAP18535F MEDICARE
MEDICAID RHM18535F MEDICARE

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