Victor Valley Community Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

VICTOR VALLEY COMMUNITY HOSPITAL

Practice address

15248 11TH St
Victorville, CA 92395-3704

Phone

(760) 843-6187

NPI assigned

May 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jolyne Flores

Title

Billing Supervisor

Phone

(760) 843-6187

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Victor Valley Community Hospital2 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.

• Victor Valley Community Hospital

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1619191079
  NPD tax ID

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396959516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15248 11TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953704",
            "telephone_number": "760-843-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15248 11TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953704",
            "telephone_number": "760-843-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR VALLEY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOLYNE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "760-843-6187"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSD30517F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Community Support Services, Inc.
• Victor Elementary Esd
• Victor Valley Advanced Imaging
• Victor Valley Anesthesia Medical Group Inc
• Victor Valley Community Dental Service Program
• Victor Valley Community Hospital
• Victor Valley Community Hospital
• Victor Valley Counseling Center, Mental Health Court
• Victor Valley Emergency Medical Associates, Inc.
• Victor Valley Hospital Acquisition, Inc. (Victor Valley Global Medical Center)

• General Acute Care Hospital in Victorville, CA
• Providers in Victorville, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.