MEDICARE: REDLANDS COMMUNITY HOSPITAL FAMILY CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZT40272F	OTHER	CA	MEDI CAL

General Provider Information

NPI Number	:	1174570725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDLANDS COMMUNITY HOSPITAL FAMILY CLINIC

Provider Business Mailing Address
First Line	:	350 TERRACINA BLVD
Second Line	:
City	:	REDLANDS
State	:	CA
Zip	:	92373-4850
Country	:	US
Telephone Number	:	909-335-5505
Fax Number	:	909-335-6497

Provider Business Practice Location Address
First Line	:	802 W COLTON AVE
Second Line	:	STE E
City	:	REDLANDS
State	:	CA
Zip	:	92374-2905
Country	:	US
Telephone Number	:	909-335-5799
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MR. JAMES ROBERT HOLMES
Credential	:
Telephone Number	:	909-335-5505

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1780654624 — MRS. ANITA CORINA ADORADOR FNP
Practice Location Address:

802 W COLTON AVE STE E
REDLANDS, CA
92374-2905

Practice Phone: 909-335-5799
Practice Fax: 909-793-6614

1891907432 — MRS. LISA ANN VILDOSOLA
Practice Location Address:

802 W COLTON AVE , SUITE C
REDLANDS, CA
92374-2905

Practice Phone: 909-335-2989
Practice Fax: 909-335-1701

1346452802 — MS. SHIRLEY AVILA
Practice Location Address:

802 W COLTON AVE
REDLANDS, CA
92374-2905

Practice Phone: 909-335-2989
Practice Fax: 909-335-1701

1174714422 — MS. LESLIE ESSENWANGER CHERAMY MFT INTERN
Practice Location Address:

802 W COLTON AVE STE C
REDLANDS, CA
92374-2905

Practice Phone: 909-335-2989
Practice Fax: 909-335-1701

1770775058 — MRS. IVANA JANICE BLUHM NP
Practice Location Address:

802 W COLTON AVE , SUITE E
REDLANDS, CA
92374-2905

Practice Phone: 909-335-5799
Practice Fax: 909-793-6614

1841449899 — MS. DEANNA STOVER RN, C, FNP-BC
Practice Location Address:

802 W COLTON AVE STE E
REDLANDS, CA
92374-2905

Practice Phone: 909-335-8323
Practice Fax:

Directions to “REDLANDS COMMUNITY HOSPITAL FAMILY CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.