SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL (NPI# 1326259284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326259284 |
| Entity Type | Organization |
| Organization Name | SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL |
| Practice Address |
29101 Hospital Rd Lake Arrowhead CA 92352 |
| Mailing Address |
29101 Hospital Rd Po Box 70 Lake Arrowhead CA 92352 |
| Practice Telephone | 9093363651 |
| Practice Fax Number | 9093364631 |
| Mailing Telephone | 9093363651 |
| Mailing Fax Number | 9093364631 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DANIEL G CRAWFORD (PHARMACY MANAGER) |
| Authorized Official Telephone | 9094363003 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | HSP 36642 | CA | Hospitals |
| Street Address |
29101 HOSPITAL RD |
| City | LAKE ARROWHEAD |
| State | CA |
| Zip Code | 92352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316297 | John Clarke Hankey | Emergency Medicine | 29101 Hospital Rd, Emergency Medicine Mountain Community Hospital, Lake Arrowhead, CA 92352-9706 | 2005-09-14 |
| 1225669005 | Sean K Benggon | Physical Therapist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2020-01-30 |
| 1962047688 | Camille Evon Fuller | Physical Therapist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2019-11-18 |
| 1174024244 | Danielle Summer Witt | Dental Hygienist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2018-02-23 |
| 1962874594 | Darren Ream | Physical Therapist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2015-10-22 |
| 1639598758 | Elite Hospitalist Medical Group, Inc. | Internal Medicine | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2014-04-16 |
| 1861828279 | Ara Tobar | Dental Hygienist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2013-09-17 |
| 1326314048 | Mountains Comminity Hospital | General Acute Care Hospital | 29101 Hospital Rd, Suite 106, Lake Arrowhead, CA 92352-0070 | 2012-03-27 |
| 1770708471 | Virginia (ginny) Dern Dunn | Physical Therapist | 29101 Hospital Rd, Suite 106, Lake Arrowhead, CA 92352-0070 | 2007-04-16 |
| 1174674246 | San Bernardino Mountains Community Hospital District | Long Term Care Hospital | 29101 Hospital Rd, Lake Arrowhead, CA 92352-0070 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952861239 | Elizabeth Kathleen White | Psychologist | 27307 State Hwy 189, #102, Lake Arrowhead, CA 92352 | 2019-03-22 |
| 1134699291 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 974 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1952871014 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 995 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1598235657 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1010 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1932674363 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 27438 Nancy Drive, Lake Arrowhead, CA 92352 | 2018-10-12 |
| 1992294813 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1000 Pine Court, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1629567573 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1032 Cedar Lane, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1730638925 | Lake Arrowhead Recovery Center | Substance Abuse Rehabilitation Facility | 28729 Palisades Drive, Lake Arrowhead, CA 92352 | 2016-09-28 |
| 1366803140 | Carolyn Burnham | Registered Nurse | 157 Brentwood Drive, Lake Arrowhead, CA 92352 | 2016-03-08 |
| 1508226994 | Lisa Lynne Hower | Counselor | 26166 Circle Drive, Lake Arrowhead, CA 92352 | 2016-02-29 |
| Find all providers in zip 92352 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174674246 | San Bernardino Mountains Community Hospital District | Long Term Care Hospital | 29101 Hospital Rd, Lake Arrowhead, CA 92352-0070 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766282 | Odedra Enterprises, Inc. | Long Term Care Hospital | 2809 Olive Hwy Ste 160, Oroville, CA 95966-6133 | 2019-08-22 |
| 1063916534 | Labri, Inc | Long Term Care Hospital | 26491 Aracena Dr, Mission Viejo, CA 92691-5101 | 2018-03-20 |
| 1194118554 | Raquel Cabrera | Long Term Care Hospital | 662 Kempton St, Spring Valley, CA 91977-5016 | 2015-03-10 |
| 1417365693 | Genesis Rehab Services | Long Term Care Hospital | 211103 Old Ranch Ct, Salinas, CA 93908 | 2014-07-31 |
| 1265840532 | Genesis Rehab Services | Long Term Care Hospital | 2506 Swift Ave, Clovis, CA 93611-3900 | 2014-07-30 |
| 1922363209 | Valley Medical Center | Long Term Care Hospital | 21490 Columbus Ave, Cupertino, CA 95014-4971 | 2012-07-12 |
| 1679848808 | Therapists Unlimited | Long Term Care Hospital | 367 Eastridge Dr, San Ramon, CA 94582-4912 | 2012-03-21 |
| 1134493463 | Centinela Hospital Medical Center | Long Term Care Hospital | 120 South Reno St Unit 347, Los Angeles, CA 90057 | 2012-03-05 |
| 1891086914 | Divine Medical Supply, Incorporated | Long Term Care Hospital | 285 S Gilbert St, Fullerton, CA 92833-2908 | 2011-04-23 |
| 1215247978 | Knd Development 53, L.L.C. | Long Term Care Hospital | 1246 W. 155th St, Gardena, CA 90247-4011 | 2010-10-15 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ARROWHEAD |
| Zip Code | 92352 |
Please comment or provide details below to improve the information on SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.