| Community Hospital Of San Bernardino | |
|
1805 Medical Center Dr San Bernardino CA 92411-1217 | |
| (909) 887-6333 | |
| (909) 806-1017 |
| Full Name | Community Hospital Of San Bernardino |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1805 Medical Center Dr, San Bernardino, California |
| Authorized Official Name and Position | Darryl Vandenbosch (CFO) |
| Authorized Official Contact | 9098817196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Hospital Of San Bernardino 1805 Medical Center Dr San Bernardino CA 92411-1217 Ph: (909) 887-6333 | Community Hospital Of San Bernardino 1805 Medical Center Dr San Bernardino CA 92411-1217 Ph: (909) 887-6333 |
| NPI Number | 1235290818 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 01/26/2015 |
| Medicare PECOS PAC ID | 1850476854 |
|---|---|
| Medicare Enrollment ID | O20120525000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235290818 | NPI | - | NPPES |
| HSC30089F | Medicaid | CA | |
| HSM30089F | Medicaid | CA | |
| LTC70044F | Medicaid | CA | |
| PHB379390 | Medicaid | CA | |
| ZZT40089F | Medicaid | CA | |
| 5615375 | Other | NCPDP | |
| ZZZA3608Z | Other | CA | BLUE SHIELD |
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