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NPI Code Detail

MEDICARE: PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER

MEDICARE: PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER
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
1282N00000XGeneral Acute Care Hospital25000186CA
2291U00000XClinical Medical LaboratoryCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZT30102FOTHERCAMEDICAL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3ZZT40102FOTHERCAMEDICAL OUTPATIENT

General Provider Information

NPI Number : 1225038953
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 3865 JACKSON ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3919
Country : US
Telephone Number : 951-352-5400
Fax Number : 951-352-5427
Provider Business Practice Location Address
First Line : 3865 JACKSON ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3919
Country : US
Telephone Number : 951-352-5400
Fax Number : 951-352-5427
Authorized Official
Title or Position : CHEIF EXECUTIVE OFFICER
Name : MR. DOUG L DRUMWRIGHT
Credential :
Telephone Number : 951-352-5400
Provider Enumeration Date : 07/22/2005
Last Update Date : 09/12/2007

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1316916810 — MAGNOLIA PATHOLOGY MEDICAL GROUP, INC.
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1639114259 — DR. ELVIA ELIZABETH ORRILLO M.D.
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Directions to “PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER ” 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.

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