NPIMap

Organization Active NPI

Mountains Comminity Hospital

  • Rural Acute Care Hospital
  • Lake Arrowhead, CA
National Provider Identifier
1326314048
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
AT 3444 Issued in CA
Legal business name
MOUNTAINS COMMINITY HOSPITAL
Practice address
29101 Hospital Rd
Suite 106
Lake Arrowhead, CA 92352-0070
Phone
(909) 336-3651
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Michelle Gertrude Kelly
Title
Physical Therapist Assistant
Phone
(909) 336-3651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X AT 3444 CA Primary

Addresses

Primary practice location

29101 Hospital Rd
Suite 106
Lake Arrowhead, CA 92352-0070

Mailing address

PO Box 70
Lake Arrowhead, CA 92352-0070
Phone (909) 336-3651

National Provider Directory

National Provider Directory
Tax ID family
Lake Arrowhead Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1326314048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923520070",
            "telephone_number": "909-336-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29101 HOSPITAL RD",
            "address_2": "SUITE 106",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "923520070",
            "telephone_number": "909-336-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINS COMMINITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "GERTRUDE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "909-336-3651",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "CA",
            "license": "AT 3444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Arrowhead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.