- Enrollment id
- O20101216000978
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1225172398
- Multiple npi flag
- N
- Ccn
- 051534
- Associate id
- 8820175599
- Organization name
- REDLANDS COMMUNITY HOSPITAL
- Incorporation date
- 1927-06-08
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 350 TERRACINA BLVD
- City
- REDLANDS
- State
- CA
- Zip code
- 923734850