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 Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. San Gorgonio Memorial Hospital can be contacted via phone (951) 845-1121, or through Brown, Mayda L. via phone (951) 769-2170.

Contact Information

Primary practice address
600 N Highland Springs Ave Banning CA 92220-3046
Phone: (951) 845-1121
Fax: (951) 769-0431
Website:
Map and Directions
Authorized official contact:
Name: Brown, Mayda L.
Phone: (951) 769-2170

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 250001199 California

Profile Details

NPI number 1568469997
LBN Legal business name San Gorgonio Memorial Hospital
DBA Doing business as
Authorized official Brown, Mayda L.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Nov 13th, 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 1568469997 NPPES
California Other HSC30054G MEDICAID IP PROV
California Other ZZT40054G MEDICAID IP PROV
California Other 050054 MEDICAID IP PROV
California MEDICAID ZZT30054G MEDICAID IP PROV
California MEDICAID ZZT40054G MEDICAID IP PROV
California Other ZZT30054G MEDICAID IP PROV

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