GROSSMONT HOSPITAL CORPORATION; NPI #1336338805

Contact Information

GROSSMONT HOSPITAL CORPORATION

5555 GROSSMONT CENTER DR
LA MESA, CA 91942-3019

Phone: 619-740-6000
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Women	282NW0100X

Indicates primary specialty

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NPI Profile & details for GROSSMONT HOSPITAL CORPORATION

NPI Number 1336338805

LBN Legal business name GROSSMONT HOSPITAL CORPORATION

Authorized official SCOTT EVANS - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 10/19/2007

Last updated 08/19/2015 - About 11 years ago

Identifiers

CA	License #	080000006
CA	Medicaid	GR0047910

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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