| San Bernardino Mountains Community Hospital District | |
|
29099 Hospital Road #200 Lake Arrowhead CA 92352 | |
| (909) 336-9715 | |
| (909) 336-5751 |
| Full Name | San Bernardino Mountains Community Hospital District |
|---|---|
| Speciality | Clinic/Center |
| Location | 29099 Hospital Road, Lake Arrowhead, California |
| Authorized Official Name and Position | Yvonne D Waggener (CFO) |
| Authorized Official Contact | 9093363651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Bernardino Mountains Community Hospital District Po Box 70 Lake Arrowhead CA 92352-0070 Ph: (909) 336-9715 | San Bernardino Mountains Community Hospital District 29099 Hospital Road #200 Lake Arrowhead CA 92352 Ph: (909) 336-9715 |
| NPI Number | 1528172541 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/25/2023 |
| Medicare PECOS PAC ID | 7012826878 |
|---|---|
| Medicare Enrollment ID | O20040701001599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528172541 | NPI | - | NPPES |
| O58535 | Other | MEDICARE | |
| HAP18535F | Medicaid | CA | |
| RHM18535F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | RHM18535F (California) | Primary |
Donald D. Doty, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29099 Hospital Road Suite 112, Lake Arrowhead, CA 92352 Phone: 909-337-3661 Fax: 909-337-3570 | |
Donald D Doty Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29099 Hospital Rd, Ste 112, Lake Arrowhead, CA 92352 Phone: 909-337-3661 Fax: 909-337-3570 | |
Elite Hospitalist Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29101 Hospital Rd, Lake Arrowhead, CA 92352 Phone: 844-474-4019 Fax: 909-336-5031 | |
Martin Rocha Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Highway 173, Suite 6, Lake Arrowhead, CA 92321 Phone: 909-336-3670 Fax: 909-336-3674 |