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Hospitals General Acute Care Hospital

Provider NPI: 1003088345

Organization Information:
Organization is not Subpart
Authorized Official:  PATRICK  PETRE  CEO  909-580-1000

Practice Location:
400 N PEPPER AVE  COLTON, CA 92324-1801 US
Tel: 909-580-1000  Fax: --

Business Mailing Address:
400 N PEPPER AVE  COLTON, CA 92324-1801 US
Tel: --  Fax: --

NPI Information:
NPI: 1003088345
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
General Acute Care Hospital

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 282N00000X





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