NPIMap

Organization Active NPI

San Bernardino Mountains Community Hospital District

Doing business as Running Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Running Springs, CA
National Provider Identifier
1881703957
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT
Doing business as
Running Springs Rural Health Clinic
Practice address
2642 Palo Alto Way
Running Springs, CA 92382-0481
Phone
(909) 867-3641
Fax
(909) 336-5751
NPI assigned
Aug 30, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Ms. Yvonne D Waggener
Title
Cfo
Phone
(909) 336-3651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

2642 Palo Alto Way
Running Springs, CA 92382-0481

Mailing address

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

Other names 1

  • Running Springs Rural Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070206000749 CA Part A Provider - Rural Health Clinic 7012826878 Practice locations: Running Springs, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881703957. Details of each certification follow.

Rural health clinic certification: CCN 058632

Legal name
SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT
Doing business as
RUNNING SPRINGS RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 9, 2008
Last certification
Aug 13, 2014
Ownership / control type
Non-profit – corporation
Organization structure
OtherNon-profit
Incorporated
Mar 13, 1967 in CA
Enrollment address
2642 Palo Alto Way
Running Springs, CA 92382-0481
Related CCNs
051312

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1064906Running Springs Rural Health Clinic - MCH2642 Palo Alto Way, Running Springs, CA 92382Certificate of waiverOct 27, 2027

National Provider Directory

National Provider Directory
Part of
San Bernardino Mountains Community Hospital District

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carmen Hernandez Individual W-2 Managing Employee May 28, 2013
San Bernardino Mountains Community Hospital District Organization, Running Springs, CA Created for acquisition 5% Or Greater Direct Ownership Interest Feb 11, 2013 100%
Yvonne Waggener Individual Corporate OfficerCfo Mar 1, 2023 100%
Corporate Director Mar 1, 2023

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mountains Community HospitalLake Arrowhead, CA, CCN 051312 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 11, 2013
Mountains Community HospitalLake Arrowhead, CA, CCN 05Z312 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 11, 2013
Mountains Community HospitalLake Arrowhead, CA, CCN 555467 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 11, 2013
Mountains Community HospitalLake Arrowhead, CA, CCN 058535 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 11, 2013

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1881703957",
    "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",
            "fax_number": "909-336-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 PALO ALTO WAY",
            "city": "RUNNING SPRINGS",
            "state": "CA",
            "postal_code": "923820481",
            "telephone_number": "909-867-3641",
            "fax_number": "909-336-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "WAGGENER",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-336-3651",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Running Springs Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Running Springs Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Running Springs, CA

Sources for this page

Verify at the official NPI Registry.