Provider Demographics
NPI:1043354111
Name:REDLANDS COMMUNITY HOSPITAL
Entity type:Organization
Organization Name:REDLANDS COMMUNITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SABI
Authorized Official - Middle Name:
Authorized Official - Last Name:DADABHAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-335-5501
Mailing Address - Street 1:350 TERRACINA BLVD
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-4850
Mailing Address - Country:US
Mailing Address - Phone:909-335-5501
Mailing Address - Fax:909-335-6494
Practice Address - Street 1:350 TERRACINA BLVD
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4850
Practice Address - Country:US
Practice Address - Phone:909-335-5501
Practice Address - Fax:909-335-6494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240000191282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA050272B000000OtherSECTION 1011
CAZZT40272FMedicaid
CAHSC30272FMedicaid
CAZZT40272FMedicaid
CAZZT40272FMedicaid