CCN: 551711 NPI: 1659620987 Organization

HOSPICE SPECTRUM INLAND EMPIRE INC

7365 CARNELIAN STREET , SUITE 220
RANCHO CUCAMONGA, CA 917301129

Contact Information

Phone 9092564050
Fax 9094408100
Enumeration Date 2012-08-31
Last Updated 2014-07-07

Taxonomies

Code: 251G00000X
Code: 251G00000X (Primary) License State: CA License: 550002207

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 40140

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 40140

providerType 35

specialPaymentIndicator

carrierCode 01112

localityCode 62