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MOUNTAINS COMMUNITY HOSPITAL
NPI 1073663662
Medicare Defined Swing Bed Unit in Lake Arrowhead, CA

Active since January 12, 2007CLIA Certified · 3 labs
29101 HOSPITAL RD, LAKE ARROWHEAD, CA 92352(909) 336-3651(909) 336-1179 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2023, Aug 17, 2023, Nov 15, 2016 (3 updates tracked since 2016).

About Mountains Community Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAINS COMMUNITY HOSPITAL (NPI 1073663662) is a healthcare organization registered as a medicare defined swing bed unit in Lake Arrowhead, California and active in the NPI registry since January 2007. The organization holds 3 active CLIA laboratory certificates and lists Yvonne D Waggener, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073663662
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameSAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT
Location Address29101 HOSPITAL RDLake Arrowhead, CA 92352-0070
Mailing AddressPo Box 70Lake Arrowhead, CA 92352-0070 · (909) 336-3651 · Fax (909) 336-1179
Phone(909) 336-3651
Fax(909) 336-1179
Organization SubpartNo
Authorized OfficialYvonne D WaggenerCfo · (909) 336-3651
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 25, 20233 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1073663662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in CA · HSP30260I
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
29101 HOSPITAL RD, Lake Arrowhead, CA 92352
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Other Names 1

Doing Business AsMountains Community Hospital

Other Identifiers 1

MedicaidLTC30260ICA

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0898196

Mountains Community Hospital Skilled · Lake Arrowhead, CA
Active · expires Feb 23, 2027
CLIA Number05D0898196
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorChoon S. Koo, MD
Laboratory Phone(909) 336-3651
Laboratory LocationMountains Community Hospital Skilled29101 Hospital Road, Lake Arrowhead, CA 92352
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 05D0643187

Mountains Community Hospital Clinical Laboratory · Lake Arrowhead, CA
Active · expires Oct 21, 2026
CLIA Number05D0643187
Laboratory TypeHospital
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorXiaoyan Zhou
Laboratory Phone(909) 436-3140
Laboratory LocationMountains Community Hospital Clinical Laboratory29101 Hospital Rd, Lake Arrowhead, CA 92352
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 05D0703816

Mountains Community Hospital Rural Health Clinic · Lake Arrowhead, CA
Active · expires May 19, 2027
CLIA Number05D0703816
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorBabek Adili-Khams
Laboratory Phone(909) 436-3033
Laboratory LocationMountains Community Hospital Rural Health Clinic29099 Hospital Road, Lake Arrowhead, CA 92352
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA PHUONGNHI DAM PHARMD, RPH
Pharmacist
29101 HOSPITAL RD
LAKE ARROWHEAD, CA 92352
San Bernardino County (909) 336-3651
KASAUNDRA MARY ANNA LAYMAN RN
Registered Nurse
29101 HOSPITAL RD
LAKE ARROWHEAD, CA 92352
San Bernardino County (559) 396-1908
JOHN CLARKE HANKEY MD
Emergency Medicine
29101 HOSPITAL RD, EMERGENCY MEDICINE MOUNTAIN COMMUNITY HOSPITAL
LAKE ARROWHEAD, CA 92352
San Bernardino County (909) 336-3651
DANIELLE SUMMER WITT
Dental Hygienist
29101 HOSPITAL RD
LAKE ARROWHEAD, CA 92352
San Bernardino County (909) 907-2003
SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT
Long Term Care Hospital
29101 HOSPITAL RD
LAKE ARROWHEAD, CA 92352
San Bernardino County (909) 336-3651
DR. SEAN K BENGGON PT, DPT
Physical Therapist
29101 HOSPITAL RD
LAKE ARROWHEAD, CA 92352
San Bernardino County (909) 336-3651
SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT
General Acute Care Hospital (Critical Access)
29101 HOSPITAL RD
LAKE ARROWHEAD, CA 92352
San Bernardino County (909) 336-3651
SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL
Long Term Care Hospital
29101 HOSPITAL RD
LAKE ARROWHEAD, CA 92352
San Bernardino County (909) 336-3651

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Bernardino Mountains Community Hospital District's NPI number?

The NPI number for San Bernardino Mountains Community Hospital District is 1073663662. It was assigned to this organization in the NPPES registry on January 12, 2007. The provider is doing business as Mountains Community Hospital.

Where is San Bernardino Mountains Community Hospital District located?

San Bernardino Mountains Community Hospital District is located at 29101 Hospital Rd, Lake Arrowhead, CA 92352. The listed phone number is (909) 336-3651.

What is San Bernardino Mountains Community Hospital District's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does San Bernardino Mountains Community Hospital District hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for San Bernardino Mountains Community Hospital District was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.