San Gorgonio Memorial Hospital

LBN: San Gorgonio Memorial Hospital
San Gorgonio Memorial Hospital is an health care organization with primary practice located at 600 N Highland Springs Ave , Banning CA 92220-3046. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. San Gorgonio Memorial Hospital can be contacted via phone (951) 845-1121, or through Brenn, Jonathan via phone (951) 769-2100.

Contact Information

Primary practice address
600 N Highland Springs Ave Banning CA 92220-3046
Fax: (951) 469-0431
Website:
Authorized official contact:
Name: Brenn, Jonathan

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X CA250001668 California

Profile Details

NPI number 1003939711
LBN Legal business name San Gorgonio Memorial Hospital
DBA Doing business as
Authorized official Brenn, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1003939711 NPPES
California Other 555722 MEDICARE SNF PROVIDER NO
California Other LTC555722F MEDICARE SNF PROVIDER NO

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