SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT (NPI# 1528172541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528172541 |
| Entity Type | Organization |
| Organization Name | SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT |
| Other Organization Name | MOUNTAINS COMMUNITY HOSPITAL RURAL HEALTH CLINIC |
| Practice Address |
29099 Hospital Road #200 Lake Arrowhead CA 92352 |
| Mailing Address |
Po Box 70 Lake Arrowhead CA 92352-0070 |
| Practice Telephone | 9093369715 |
| Practice Fax Number | 9093365751 |
| Mailing Telephone | 9093369715 |
| Mailing Fax Number | 9093365751 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | MR. CHARLES H. HARRISON (CEO) |
| Authorized Official Telephone | 9093363651 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITALS DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
RHM18535F | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | O58535 | 01 | |
| CA | HAP18535F | 05 | |
| CA | RHM18535F | 05 |
| Other Name | Type Code |
|---|---|
| Mountains Community Hospital Rural Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881703957 | San Bernardino Mountains Community Hospital District | Clinic/Center | 2642 Palo Alto, Running Springs, CA 92382 | 2006-08-30 |
| 1174674246 | San Bernardino Mountains Community Hospital District | Long Term Care Hospital | 29101 Hospital Rd, Lake Arrowhead, CA 92352-0070 | 2007-01-16 |
| 1073663662 | San Bernardino Mountains Community Hospital District | Medicare Defined Swing Bed Unit | 29101 Hospital Rd, Lake Arrowhead, CA 92352-0070 | 2007-01-12 |
| 1245380799 | San Bernardino Mountains Community Hospital District | General Acute Care Hospital | 29101 Hospital Rd, Lake Arrowhead, CA 92352-0070 | 2007-01-10 |
| Street Address |
29099 HOSPITAL ROAD #200 |
| City | LAKE ARROWHEAD |
| State | CA |
| Zip Code | 92352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619910 | Lawrence R. Walker | Orthopaedic Surgery | 29099 Hospital Road, Suite 114, Lake Arrowhead, CA 92352 | 2005-06-16 |
| 1154986420 | Jonathan Reed | Physical Therapist | 29099 Hospital Road, Suite 106, Lake Arrowhead, CA 92352 | 2019-05-02 |
| 1124453469 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 29099 Hospital Road, Suite 114, Lake Arrowhead, CA 92352 | 2013-09-05 |
| 1003126129 | Shelley R Hasselman | Registered Nurse | 29099 Hospital Road, Suite 204b, Lake Arrowhead, CA 92352 | 2010-10-08 |
| 1376781765 | W Maier Inc | Preventive Medicine | 29099 Hospital Road, Suite 112, Lake Arrowhead, CA 92352 | 2009-01-23 |
| 1194912048 | Kyi Kyi Thwin Win Md Inc | Specialist | 29099 Hospital Road, Ste 107, Lake Arrowhead, CA 92352-2229 | 2007-09-25 |
| 1427259795 | Michelle Ely Ricardo | Occupational Therapist | 29099 Hospital Road, 106, Lake Arrowhead, CA 92352 | 2007-05-31 |
| 1154541506 | Guy Gerald Giacopuzzi | Dentist | 29099 Hospital Road, Suite 208, Lake Arrowhead, CA 92352 | 2007-04-26 |
| 1083626048 | Orthopaedic Medical Group of Riverside, Inc. | Orthopaedic Surgery | 29099 Hospital Road, Suite 112, Lake Arrowhead, CA 92352 | 2006-08-11 |
| 1235175233 | Walter M Maier | Emergency Medicine | 29099 Hospital Road, Suite 112, Lake Arrowhead, CA 92352 | 2006-06-20 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1922614197 | Sierra View Local Health Care District | Clinic/Center | 9520 Road 238, Terra Bella, CA 93270 | 2020-09-22 |
| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
| 1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| 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 DISTRICT.
| 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.