MOUNTAINS COMMINITY HOSPITAL (NPI# 1326314048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326314048 |
| Entity Type | Organization |
| Organization Name | MOUNTAINS COMMINITY HOSPITAL |
| Practice Address |
29101 Hospital Rd Suite 106 Lake Arrowhead CA 92352-0070 |
| Mailing Address |
Po Box 70 Lake Arrowhead CA 92352-0070 |
| Practice Telephone | 9093363651 |
| Mailing Telephone | 9093363651 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | MRS. MICHELLE GERTRUDE KELLY (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 9093363651 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
AT 3444 | CA | Hospitals |
| Street Address |
29101 HOSPITAL RD SUITE 106 |
| City | LAKE ARROWHEAD |
| State | CA |
| Zip Code | 92352-0070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316297 | John Clarke Hankey | Emergency Medicine | 29101 Hospital Rd, Emergency Medicine Mountain Community Hospital, Lake Arrowhead, CA 92352-9706 | 2005-09-14 |
| 1225669005 | Sean K Benggon | Physical Therapist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2020-01-30 |
| 1962047688 | Camille Evon Fuller | Physical Therapist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2019-11-18 |
| 1174024244 | Danielle Summer Witt | Dental Hygienist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2018-02-23 |
| 1962874594 | Darren Ream | Physical Therapist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2015-10-22 |
| 1639598758 | Elite Hospitalist Medical Group, Inc. | Internal Medicine | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2014-04-16 |
| 1861828279 | Ara Tobar | Dental Hygienist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2013-09-17 |
| 1326259284 | San Bernardino Mountains Community Hospital | Long Term Care Hospital | 29101 Hospital Rd, Lake Arrowhead, CA 92352 | 2007-05-24 |
| 1770708471 | Virginia (ginny) Dern Dunn | Physical Therapist | 29101 Hospital Rd, Suite 106, Lake Arrowhead, CA 92352-0070 | 2007-04-16 |
| 1174674246 | San Bernardino Mountains Community Hospital District | Long Term Care Hospital | 29101 Hospital Rd, Lake Arrowhead, CA 92352-0070 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952861239 | Elizabeth Kathleen White | Psychologist | 27307 State Hwy 189, #102, Lake Arrowhead, CA 92352 | 2019-03-22 |
| 1134699291 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 974 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1952871014 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 995 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1598235657 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1010 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1932674363 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 27438 Nancy Drive, Lake Arrowhead, CA 92352 | 2018-10-12 |
| 1992294813 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1000 Pine Court, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1629567573 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1032 Cedar Lane, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1730638925 | Lake Arrowhead Recovery Center | Substance Abuse Rehabilitation Facility | 28729 Palisades Drive, Lake Arrowhead, CA 92352 | 2016-09-28 |
| 1366803140 | Carolyn Burnham | Registered Nurse | 157 Brentwood Drive, Lake Arrowhead, CA 92352 | 2016-03-08 |
| 1508226994 | Lisa Lynne Hower | Counselor | 26166 Circle Drive, Lake Arrowhead, CA 92352 | 2016-02-29 |
| Find all providers in zip 92352 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205288818 | Mahalet Zewde Welde Semat | General Acute Care Hospital | 2447 Vallejo St Apt 5, San Francisco, CA 94123-4656 | 2016-07-07 |
| 1053789164 | Va Longbeach Medical Center | General Acute Care Hospital | 14118 Cordary Ave Apt 22, Hawthorne, CA 90250-8074 | 2015-09-04 |
| 1871884585 | Tulare Local Health Care District | General Acute Care Hospital | 16796 Avenue 168, Woodville, CA 93257-0000 | 2011-04-28 |
| 1841525532 | Stanley D Levine, Md A Professional Corporation | General Acute Care Hospital | 20760 Hyde Rd, Sonoma, CA 95476-9588 | 2009-10-13 |
| 1700020500 | Sutter Health Sacramento Sierra Region | General Acute Care Hospital | 24685 Highway 88, Pioneer, CA 95666 | 2009-04-23 |
| 1164680617 | California Pacific Medical Center | General Acute Care Hospital | 550 Battery St Apt 1417, San Francisco, CA 94111-2328 | 2008-05-30 |
| 1649446014 | Edward Turberville Peter | General Acute Care Hospital | 13980 Valley View Dr, Red Bluff, CA 96080-9352 | 2008-05-05 |
| 1952402844 | Feather River Hospital | General Acute Care Hospital | 5730 Canyon View Dr., Paradise, CA 95969 | 2006-09-26 |
| 1558374132 | Byron P Sansom A Dental Corporation | General Acute Care Hospital | 452 Old Mammoth Rd., Suite L, Mammoth Lakes, CA 93546 | 2006-08-14 |
| 1750321378 | John Michael Pabers | General Acute Care Hospital | 2304 Juan St, San Diego, CA 92103-1111 | 2006-06-08 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ARROWHEAD |
| Zip Code | 92352 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.