Healthcare Provider Details

I. General information

NPI: 1407990575
Provider Name (Legal Business Name): REDLANDS COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 09/28/2020
Certification Date: 09/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 TERRACINA BLVD
REDLANDS CA
92373-4850
US

IV. Provider business mailing address

350 TERRACINA BLVD
REDLANDS CA
92373-4850
US

V. Phone/Fax

Practice location:
  • Phone: 909-335-5501
  • Fax: 909-335-6494
Mailing address:
  • Phone: 909-335-5501
  • Fax: 909-335-6494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number240000191
License Number StateCA

VIII. Authorized Official

Name: JAMES R. HOLMES
Title or Position: CEO
Credential:
Phone: 909-335-5500