Jerry L. Pettis Memorial Va Medical Center in San Bernardino - Special Hospital

Jerry L. Pettis Memorial Va Medical Center - NPI 1275691594

Jerry L. Pettis Memorial Va Medical Center is a Special Hospital in San Bernardino, California. Jerry L. Pettis Memorial Va Medical Center practices all healthcare services and medical treatments related to Special Hospital. The NPI Number for Jerry L. Pettis Memorial Va Medical Center is 1275691594. The last update date is 2020-08-22.

Jerry L. Pettis Memorial Va Medical Center's current location address is 116 N Plymouth Way, San Bernardino, California. You can contact this provider via phone number 9098257084. The mailing address for Jerry L. Pettis Memorial Va Medical Center is 116 N Plymouth Way, San Bernardino, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jerry L. Pettis Memorial Va Medical Center
Address 116 N Plymouth Way, San Bernardino, California
Phone Number 9098257084
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL CE
Authorized Official Name Stordahl Dean
Telephone Number 9098257084

NPI Number Detail

NPI Number 1275691594
Provider Enumeration Date 2006-12-06
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 116 N Plymouth Way
City San Bernardino
State California (CA)
Post Code 924084116
Phone Number 9098257084
Fax Number

Provider's Primary Taxonomy Detail

Speciality Special Hospital
Taxonomy 284300000X
Licence No G03312
Definition:
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

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FAQs about Jerry L. Pettis Memorial Va Medical Center

What is the unique identifier code issued to Jerry L. Pettis Memorial Va Medical Center by the Centers for Medicare & Medicaid Services (CMS)?

The Jerry L. Pettis Memorial Va Medical Center has been assigned the NPI (National Provider Identifier) 1275691594. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Jerry L. Pettis Memorial Va Medical Center's facilities are situated?

The facilities of Jerry L. Pettis Memorial Va Medical Center are physically located at the following address: 116 N Plymouth Way, San Bernardino, CA, 924084116.

What is Jerry L. Pettis Memorial Va Medical Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jerry L. Pettis Memorial Va Medical Center is Special Hospital, and the taxonomy classification code that categorizes this area of expertise is 284300000X.

When did Jerry L. Pettis Memorial Va Medical Center receive its 1275691594 assignment?

The Jerry L. Pettis Memorial Va Medical Center was assigned its 1275691594 on 2006-12-06, which is the date when this unique identifier was issued to the organization.

As of what date were the Jerry L. Pettis Memorial Va Medical Center's details last updated?

The information pertaining to the Jerry L. Pettis Memorial Va Medical Center, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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