Jerry L. Pettis Va Memorial Hospital

LBN: Jerry L. Pettis Va Memorial Hospital
Jerry L. Pettis Va Memorial Hospital is an health care organization with primary practice located at 19845 San Luis Rey Ln , Riverside CA 92508-6494. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. Jerry L. Pettis Va Memorial Hospital can be contacted via phone (951) 653-7051, or through Stordahl, Dean via phone (909) 825-7084.

Contact Information

Primary practice address
19845 San Luis Rey Ln Riverside CA 92508-6494
Phone: (951) 653-7051
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stordahl, Dean
Phone: (909) 825-7084

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X 219193 California

Profile Details

NPI number 1629264775
LBN Legal business name Jerry L. Pettis Va Memorial Hospital
DBA Doing business as
Authorized official Stordahl, Dean
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2007
Last updated Sep 22nd, 2007 - about 17 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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