MOUNTAINS COMMUNITY HOSPITAL – NPI #1174674246
Long Term Care Hospital

Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

MOUNTAINS COMMUNITY HOSPITAL is a long term care hospital located in LAKE ARROWHEAD, CA. NPPES has assigned the NPI number 1174674246 to MOUNTAINS COMMUNITY HOSPITAL on January 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOUNTAINS COMMUNITY HOSPITAL” is a dba name, the actual legal business name for this organization is SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT. The primary taxonomy selected by this provider is 282E00000X from the Health Care Provider Taxonomy code set, which is classified as Long Term Care Hospital.

The NPI profile was previously updated about 3 years ago on Aug 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAINS COMMUNITY HOSPITAL below.

NPI Profile for
SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT

NPI Number
1174674246
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT
Doing Business As (dba): MOUNTAINS COMMUNITY HOSPITAL
Primary location
29101 HOSPITAL RD
LAKE ARROWHEAD, CA 92352-0070
Phone: (909) 336-3651 Fax: (909) 336-4730
Mailing address
PO BOX 70
LAKE ARROWHEAD, CA 92352-0070
Phone: (909) 336-3651 Fax: (909) 336-4730
Organization Subpart
No
Authorized Official
YVONNE WAGGENER
CFO
Phone: (909) 336-3651
Updated
Certification Date
Aug 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MOUNTAINS COMMUNITY HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCALTC55467F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282E00000X
- Long Term Care Hospital (Primary)
CA LTC55467F

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.