Community Convalescent Center Of San Bernardino

LBN: Community Hospital Of San Bernardino
Community Convalescent Center Of San Bernardino is an health care organization with primary practice located at 1676 Medical Center Dr , San Bernardino CA 92411-1213. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Care, Pediatric, which is considered as the primary health care specialty. Community Hospital Of San Bernardino can be contacted via phone (909) 887-6481, or through Sorenson, Ed via phone (909) 887-6333.

Contact Information

Primary practice address
1676 Medical Center Dr San Bernardino CA 92411-1213
Phone: (909) 887-6481
Fax: (909) 887-3858
Website:
Map and Directions
Authorized official contact:
Name: Sorenson, Ed
Phone: (909) 887-6333

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X 240000185 California

Profile Details

NPI number 1851395685
LBN Legal business name Community Hospital Of San Bernardino
DBA Doing business as Community Convalescent Center Of San Bernardino
Authorized official Sorenson, Ed
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 9th, 2005
Last updated Sep 23rd, 2013 - about 11 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 1851395685 NPPES
California MEDICAID LTP40010F
California MEDICAID LTC40010F
California MEDICAID ZZT06107I

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