Table: hospital_annual_utilization_data_machine_readable_format , fac_name like P*

A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  *

year_str oshpd_id fac_name fac_address_one fac_address_two fac_city fac_zipcode fac_phone fac_admin_name fac_oper_curryr beg_date end_date parent_name parent_address_one parent_address_two parent_city parent_state parent_zip_9 report_prep_name lic_status lic_status_date lic_orig_date report_status mgt_company trauma_ctr teach_hosp mcal_provider_no mcare_provider_no aclaims_no assembly_dist senate_dist congress_dist cens_tract med_svc_study_area laco_svc_plan_area health_svc_area county license_no facility_level longitude latitude type_lic type_cntrl type_svc_principal measure_variable description response dates amount
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 66
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 24156
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3255
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 11001
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 107
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 39162
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5834
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 17827
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 14
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 5124
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 1899
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 3421
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 107
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 39162
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 5834
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 17827
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.1 PED_BED_LIC None None 12
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 4392
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.3 PED_DIS None None 435
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1208
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 16
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1698
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2617
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 8
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2928
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 148
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 474
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1758
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.1 NICU_BED_LIC None None 7
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 2562
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.3 NICU_DIS None None 97
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 439
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL IV None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 55
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2448
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 19281
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 15
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 17097
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 104
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 747
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2489
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 39628
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2610
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 42238
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 16
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 187
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 62
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 19
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 4
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 4
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 10
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 119
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 27
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 4
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 4
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 253
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1723
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 101149
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 3285
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 109622
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1767
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 33
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 5
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 615
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2012 12/31/2012 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 80 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 100
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 36600
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4358
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 15013
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 142
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 51972
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 7025
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 25460
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 10
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 3660
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.3 PERINATL_DIS None None 2266
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6323
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 142
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 51972
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 7025
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 25460
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 12
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2176
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5527
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 9
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3294
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 177
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 451
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1498
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 23
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 8418
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.9.3 REHAB_DIS None None 224
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2626
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 1833
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 142828
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.2.1 SURG_OP None None 1370
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 83311
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2171
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 106
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 3
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 825
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 2
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwars Yes 01/01/2012 12/31/2012 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 45 21 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 245
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 89670
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 12677
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 56517
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 329
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 120414
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 17038
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 79044
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 48
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 17568
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 50
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 16408
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 35
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 12810
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 3010
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 7977
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 377
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 137982
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 17088
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 95452
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 24
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2699
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5560
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4392
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 916
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1015
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 8643
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 12
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 4392
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 12
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4392
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 248
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 480
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 3138
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 13
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 4758
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 187
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2769
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL II None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 613
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 9675
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 4
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 29162
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 72
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 23374
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 903
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1560
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 9531
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 64384
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 10511
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 74895
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 30
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 91
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 107
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 84
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 95
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 76
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 139
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 67
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 72
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 69
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 87
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 69
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 20
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 976
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4454
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 569200
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 8
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1908
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 170021
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3010
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 157
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 32
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 897
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 55
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 44
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 55
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 44
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 93
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 777
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 246
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 276
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 1
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1053
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 247
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 653
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 11
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 4
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 2
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 234
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 41
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 1
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 35
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 7
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 350
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 1769
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 22
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 23
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 3152
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 8
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP MP3 Seismic Construction None None
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 4000000
2012 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2012 12/31/2012 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 20 27 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO P-2012-00076 None None
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 27
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 9882
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 287
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 8036
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 36
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 13176
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 340
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 9481
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 36
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 13176
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 340
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 9481
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.3.1 PED_BED_LIC None None 5
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 1830
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 2
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 732
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 27
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 41
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 722
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.5.1 CCU_BED_LIC None None 2
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 732
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.5.3 CCU_DIS None None 26
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 40
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 723
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 66
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 3330
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.2.1 SURG_OP None None 1
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 41
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Steve Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 46 22 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 230
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 84180
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 14418
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 48000
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 327
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 119682
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 18663
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 67992
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 115
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 42090
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 2244
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 23128
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 22
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8052
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2797
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 7328
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 442
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 161772
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 20907
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 91120
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 13
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 4758
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 583
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1338
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 22
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2520
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5910
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 28
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 10248
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 630
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1474
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 7637
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.73.1 HOSPICE_CLASS_SN_BED Yes None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 34
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 12444
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 235
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 15
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 3689
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 2
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 2
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 2563
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4147
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 19702
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 24
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 17818
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 657
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 9830
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 12203
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 54060
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 12886
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 66946
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 29
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 4572
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 2139
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 68
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 61
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 82
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 54
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 69
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 18
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 13
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 19
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 51
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 11
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 9
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 27
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 482
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4158
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 616000
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 11
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4070
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 354000
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2722
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 121
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 37
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 994
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 154
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 111
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 154
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 111
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 79
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 684
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 440
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 376
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 137
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1060
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 577
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 638
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 11
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 28
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 8
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 22
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 1373
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.76.1 PTBV None None 27
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 48
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 122
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 2
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 5
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 94
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2378
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 11
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2012 12/31/2012 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 53 28 36 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 154
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 56364
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 10227
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 56307
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 249
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 91134
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 14521
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 72562
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 29
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10614
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2422
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 7123
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 249
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 91134
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 14521
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 72562
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 18
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 6588
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 1337
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 3855
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 31
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2341
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 7149
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 17
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 6222
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 172
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1143
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 10
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 3660
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 144
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 707
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 21
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 7686
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 219
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 3427
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 317
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 3
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2217
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 17
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 10985
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 1856
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 7716
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 2731
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 5179
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 3600
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 26414
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 8207
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 34621
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 15
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 531
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 15
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 28
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 59
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 45
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 24
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 23
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 26
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 23
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 24
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 18
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 29
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 23
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 337
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3518
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 528235
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 9
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 3795
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 356833
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2341
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 237
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 43
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 573
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 77
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 2
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 77
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 2
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 51
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 315
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 1315
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 418
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 379
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 733
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 1694
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 551
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 146
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 31
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 15
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 20
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 141
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 221
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 36
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 12
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 234
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 141
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 106
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 22
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 4
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 14
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1694
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 9
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2012 12/31/2012 Providence Health and Services 501 S. Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 41 23 27 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 55
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 20130
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3197
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 11156
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 84
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 30744
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 4072
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 14958
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.17.1 PSY_BED_LIC None None 73
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 26718
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.17.3 PSY_DIS None None 3525
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 22786
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.18.1 SN_BED_LIC None None 27
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 9882
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 13
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 4758
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.2.3 PERINATL_DIS None None 764
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2227
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 184
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 67344
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 7597
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 37744
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 9
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 734
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1783
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 8
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2928
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 111
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 741
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1575
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 52
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 52
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 43
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 9
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.5.1 CCU_BED_LIC None None 8
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 2928
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 52
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 23
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 3
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 23
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.56.1 PSY_CENS_PATIENT_OTHR_THIRDPTY None None 3
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 52
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 256
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 18
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 532
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 28
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 4505
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 200
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 1596
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 972
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 442
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2316
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 7331
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 3534
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 10865
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 7
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 8304
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 610
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 170
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 120
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 108
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 102
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 133
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 95
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 98
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 170
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 160
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 144
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 141
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 126
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 1567
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 1726
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 225983
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 3558
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 80210
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 734
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 27
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 273
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106190587 PACIFIC HOSPITAL OF LONG BEACH 2776 PACIFIC AVENUE None LONG BEACH 90806 562-997-2400 Michael D. Drobot Yes 01/01/2012 12/31/2012 HealthSmart Pacific, Inc. 2776 Pacific Ave None Long Beach CA 90806 Cathi Baker Open 06/13/1956 06/13/1956 None None None NO None None 930000114 54 27 37 6037572202 78.2lll South Bay 11 - Los Angeles Los Angeles 930000117 Parent Facility -118.19355 33.80759 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 165
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 60390
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1105
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 34079
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 177
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 64782
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 1238
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 37630
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 177
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 64782
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 1238
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 37630
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 7
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2562
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 78
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 197
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2071
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.1 CCU_BED_LIC None None 5
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1830
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.3 CCU_DIS None None 55
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 140
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 1480
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 440
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 22323
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 5
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Steven Popkin Yes 01/01/2012 12/31/2012 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 52 27 39 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 206
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 75396
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 11133
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 48156
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 415
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 151890
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 21333
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 100488
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 38
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 2318
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 84
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 30744
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 7286
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 19992
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 453
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 154208
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 21333
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 100488
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 34
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 12444
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 1358
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 3055
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 41
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 5854
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 13896
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 26
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 9516
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 492
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1531
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 8304
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 12
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 4392
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 179
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 770
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 2986
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 53
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 19398
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 885
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 1639
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 17995
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1121
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 5
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 8567
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 8
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 34253
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 51
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 25642
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 5147
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 2151
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 4980
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 71734
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 10191
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 81925
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 50
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1477
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 68
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 68
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 113
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 65
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 32
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 33
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 33
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 39
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 36
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 70
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 26
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 16
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 599
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3751
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 450562
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 10
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 6533
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 454600
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 6842
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 44
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 12
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG Yes None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.33.1 ABC_LDRP Yes None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.36.1 BIRTHS_LIVE_ABC None None 4209
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 2633
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 152
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 2
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 152
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 2
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 107
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 297
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 214
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 418
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 71
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 715
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 285
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 715
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 139
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 68
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 65
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 24
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 252
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 33
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 37
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 11
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 12
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 9
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 42
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1407
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Surgery Air Handler None None
2012 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2012 12/31/2012 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 61 32 38 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1127435
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 268
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 98088
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 12121
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 45333
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 409
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 149694
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 17474
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 70228
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 35
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 12810
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 630
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 6513
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 32
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 11712
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 3919
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 9635
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 444
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 162504
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 18104
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 76741
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 34
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 12444
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 578
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1143
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 3373
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 6767
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 24
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8784
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 159
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1935
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5381
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 34
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 12444
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 502
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 6261
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 17
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 6222
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 195
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2475
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1280
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 5552
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 23917
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 24120
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 5461
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 3620
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 4463
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 58489
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 9924
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 68413
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 57
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1936
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 37
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 19
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 24
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 14
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 4
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 4
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 8
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 30
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 18
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 3
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 8
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 169
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4006
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 517786
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 13
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 9061
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 541858
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3472
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 211
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 40
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 1179
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 182
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 182
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 137
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 618
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 742
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 516
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 251
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1134
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 993
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1094
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 183
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 45
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 294
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 18
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 40
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 33
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 4
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 20
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 400
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2127
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 9
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2012 12/31/2012 Interhealth Corp 12401 Washington Blvd None Whittier CA 90605 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 56 30 39 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 104
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 38064
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 5068
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 18299
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 158
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 57828
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 6295
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 26419
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.1 CHEM_BED_LIC None None 48
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.2 CHEM_LICBED_DAY None None 17568
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.3 CHEM_DIS None None 427
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.5 CHEM_CENS_DAY None None 3411
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.1 PSY_BED_LIC None None 25
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 9150
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.3 PSY_DIS None None 577
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 7228
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 125
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 45750
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 188
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 36951
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 22
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8052
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 780
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 1814
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 356
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 130296
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 7487
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 74009
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 18
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 717
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1600
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4392
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 166
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 602
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2259
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 13
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 13
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 4
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 9
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 13
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 8
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 3
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 1
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.59.1 PSY_CENS_PATIENT_OTHR_INDIG None None 1
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 13
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 20
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 7320
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 281
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 4047
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 291
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2485
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 14974
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 25
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 10429
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 310
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 5341
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 3838
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 33520
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 4175
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 37695
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 16
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 291
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 628
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 38
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 32
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 49
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 33
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 38
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 35
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 15
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 31
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 25
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 18
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 9
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 13
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 336
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 1054
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 148080
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1486
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 134010
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 717
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 12
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 1
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 247
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP NPC 3 None None
2012 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 NANCY CARLSON Yes 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 54 28 36 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 2521000
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 48
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 17568
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 2221
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 7330
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 95
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 34770
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 3138
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 11312
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.1 PSY_BED_LIC None None 38
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 13908
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.3 PSY_DIS None None 1727
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 13399
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.1 SN_BED_LIC None None 98
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 35868
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.3 SN_DIS None None 69
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.5 SN_CENS_DAY None None 23952
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 16
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 5856
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.3 PERINATL_DIS None None 555
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 1795
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 231
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 84546
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 4934
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 48663
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.1 PED_BED_LIC None None 24
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 8784
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.3 PED_DIS None None 204
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.5 PED_CENS_DAY None None 444
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 508
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 508
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1493
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 7
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2562
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 158
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 319
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1743
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.40.1 BED_SWING_SN None None 49
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 32
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 32
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 32
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 32
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 11
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 21
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 32
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 3168
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 14
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4566
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 38
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 2040
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 148
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 1084
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 272
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1024
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 1370
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 11882
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 1842
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 13724
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 7
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 533
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 27
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 38
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 16
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 34
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 28
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 60
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 33
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 60
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 45
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 59
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 47
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 49
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 496
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 587
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 23345
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 3
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 283
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 13259
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 543
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 31
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 7
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 148
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 3
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2012 12/31/2012 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Mubashir Hashmi Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 20 28 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 269
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 89558
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 13952
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 57992
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 392
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 134576
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 18260
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 84153
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 54
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 19764
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 24
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8784
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2762
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 7673
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 446
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 154340
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 18260
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 84153
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 32
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2267
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5420
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 38
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 13908
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 933
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1021
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 10890
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 16
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 5856
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 20
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 7320
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 331
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 565
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 4130
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 25
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 9150
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 282
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 3468
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 668
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 6352
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 3
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 20943
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 80
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 14782
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1275
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 6759
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 7583
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 49504
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 8941
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 58445
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 38
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 6873
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1502
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 10
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 28
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 39
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 26
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 7
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 23
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 4
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 19
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 18
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 8
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 9
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 6
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 197
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4806
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 679200
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 15
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 5250
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 443160
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2449
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 154
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 28
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 922
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 15
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 15
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 82
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 441
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 453
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 320
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 325
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 761
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 778
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 893
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 80
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 55
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 36
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 30
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 563
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 24
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 2
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 208
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 59
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 961
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 726
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 4
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 25
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 1
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 146
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 3813
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 15
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A.Rembis Yes 01/01/2012 12/31/2012 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 21 29 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 133
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 48678
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 7230
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 28311
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 157
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 57462
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 7813
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 34990
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 157
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 57462
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 7813
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 34990
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 24
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8784
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 583
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1760
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 6679
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 5449
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 3
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 15990
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 7
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 21037
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 94
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 2527
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 5733
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 108
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 854
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 45111
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 6691
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 51802
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 35
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 3895
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 1
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 10
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 9
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 4
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 2
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 5
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 1
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 4
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 15
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 15
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 66
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 2014
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 261720
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 1278
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 106260
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 12
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 27
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 12
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 27
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 12
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 196
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 108
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 390
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 158
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 586
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 266
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 527
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 111
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 252
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 229
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 2
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.75.1 THROMBO_AGT None None 30
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.77.1 DX_EP_STUDY None None 2
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 12
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 101
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 188
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.81.1 CAROTID_STENTING None None 6
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 10
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 969
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.85.1 CATH_TOTL None None 2439
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2012 12/31/2012 Universal health Services, Inc. 367 S. Gulph Rd. None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 17 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 106
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 38796
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3449
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 10622
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 114
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 41724
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 3639
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 12217
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 114
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 41724
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 3639
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 12217
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 4
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1464
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 95
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 138
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 797
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.5.1 CCU_BED_LIC None None 4
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1464
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.5.3 CCU_DIS None None 95
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 138
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 798
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 965
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1427
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 8756
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 9
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 7922
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 610
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 2774
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2101
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 21844
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2722
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 24566
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 12
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 1
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 3
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 1
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 5
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 1209
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 149535
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 3179
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 312885
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 5.36.1 BIRTHS_LIVE_ABC None None 1
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP ER Expansion None None
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 9918316
2012 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2012 12/31/2012 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 72 29 42 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.84389 33.88449 General Acute Care Investor - Corporation General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO HL07294230 None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 23
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 8418
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 413
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 1092
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 25
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 9150
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 483
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 1207
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 2
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 732
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 70
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 115
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 25
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 9150
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 483
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 1207
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 72
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 105
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.15.2 ED_PHYSN_AVAIL_ON_CALL Yes None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 190
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 677
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 977
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 825
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1263
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 3932
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 3932
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 4
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 11
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 46
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 117
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 10035
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 1
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 252
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 14865
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 73
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 2
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 27
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 1
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121-7118 Doug Lafferty Yes 01/01/2012 12/31/2012 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 3 1 4 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 41
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 15006
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 943
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 2888
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 51
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 18666
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 1206
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 4074
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 6
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 2196
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 205
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 465
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 51
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 18666
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 1206
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 4074
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 6
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 189
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 415
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 4
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1464
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 58
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 721
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 175
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 477
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 3670
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 34
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 1936
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 368
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 410
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 345
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 6668
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 747
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 7415
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 6
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 211
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 1
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 1
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 301
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 18933
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 700
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 44175
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 190
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 4
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG Yes None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.32.1 ABC_LDR Yes None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.36.1 BIRTHS_LIVE_ABC None None 123
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 66
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Larry Blitz Yes 01/01/2012 12/31/2012 Palo Verde Healthcare District 250 North First St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 80 40 45 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 125
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 45750
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 6773
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 29245
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 193
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 70638
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 9834
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 41578
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 28
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10248
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2233
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 4669
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 193
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 70638
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 9834
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 41578
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 15
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 5490
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 357
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 728
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 20
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2028
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 3403
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 13
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4758
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 192
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 423
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 3603
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 12
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4392
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 279
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 195
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 3333
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 2
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 12271
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 17
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 8553
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 3
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 3523
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 3
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 10792
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 18
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1342
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5206
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 36481
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5247
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 41728
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 14
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 2107
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 2996
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 378150
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 7
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1620
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 149910
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2244
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 94
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 21
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 798
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 7
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP NICU Renovations None None
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1200000
2012 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Doug Drumwright Yes 01/01/2012 12/31/2012 Parkview Community Hospital Medical Center 3865 Jackson Street None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 64 31 44 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO AUC 2011-00133 None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.1 PSY_BED_LIC None None 394
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.2 PSY_LICBED_DAY None None 144204
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.3 PSY_DIS None None 1129
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.5 PSY_CENS_DAY None None 175641
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.1 IC_BED_LIC None None 893
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.2 IC_LICBED_DAY None None 326838
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.3 IC_DIS None None 906
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.5 IC_CENS_DAY None None 375373
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.1 HOSP_BED_LIC_TOTL None None 1287
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.2 HOSP_LICBED_DAY_TOTL None None 471042
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.3 HOSP_DIS_TOTL None None 2035
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.5 HOSP_CENS_DAY_TOTL None None 551014
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.43.1 PSY_LCK_CENS_PATIENT None None 480
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.45.1 PSY_CENS_PATIENT_TOTL None None 480
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.47.1 PSY_CENS_PATIENT_18-64 None None 446
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.49.1 PSY_CENS_PATIENT_=65 None None 34
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.50.1 PSY_CENS_PATIENT_TOTL None None 480
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 480
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.65.1 PSY_CENS_PATIENT_TOTL None None 480
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.70.1 PSY_PROG_SHDOYL No None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.71.1 HOSPICE_PROG No None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.50.1 EMS_AMB_DIVERS No None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.15.1 AMB_SURG_PROG No None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.31.1 ABC_OP_PROG No None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Octavio C. Luna Yes 01/01/2012 12/31/2012 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 63 31 41 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 174
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 62352
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 269
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 97603
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 4125
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 13297
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.17.1 PSY_BED_LIC None None 26
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 9516
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.17.3 PSY_DIS None None 1321
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 7230
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.18.1 SN_BED_LIC None None 96
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 35136
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.18.3 SN_DIS None None 675
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.18.5 SN_CENS_DAY None None 30853
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 42
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 15631
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 3690
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 8016
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 391
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 142255
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6121
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 51380
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 222
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 4
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 3537
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5949
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 21
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 7686
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 22
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 22
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 19
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 3
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.5.1 CCU_BED_LIC None None 14
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 5124
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 22
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 2
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 3
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 5
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.55.1 PSY_CENS_PATIENT_CO_INDIG None None 2
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 5
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.59.1 PSY_CENS_PATIENT_OTHR_INDIG None None 4
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 1
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 22
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 18
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 6588
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.9.3 REHAB_DIS None None 435
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 5281
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL II None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 3828
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 488160
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 14
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 2193
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 205195
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3552
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 1147
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 4
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Sheila Brown Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 128
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 43738
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4668
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 16977
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 188
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 71918
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 6253
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 24952
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.16.1 CHEM_BED_LIC None None 18
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.16.2 CHEM_LICBED_DAY None None 6588
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.1 PSY_BED_LIC None None 85
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 31110
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.3 PSY_DIS None None 4646
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 28915
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 23
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8418
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.3 PERINATL_DIS None None 1170
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2509
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 291
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 109616
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 10899
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 53867
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 3110
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 35
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1142
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1996
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.1 ICU_BED_LIC None None 10
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3660
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.3 ICU_DIS None None 218
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 557
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2747
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 11
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.44.1 PSY_OPN_CENS_PATIENT None None 65
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 76
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 65
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 11
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.1 CCU_BED_LIC None None 5
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1830
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 76
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 35
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 2
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 26
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.55.1 PSY_CENS_PATIENT_CO_INDIG None None 5
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 2
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 6
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 76
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 3110
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 22
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 8052
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.3 REHAB_DIS None None 197
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2719
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1366
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 106
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2893
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 23
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 12750
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 93
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 8658
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 118
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 369
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 6286
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 26036
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 6626
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 32662
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.35.1 EMS_STATION None None 20
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 438
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 1
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 1
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.1.1 SURG_IP None None 487
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 42096
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.10.1 OP_RM_TOTL None None 4
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.2.1 SURG_OP None None 841
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 29653
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1142
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 31
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 10
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 375
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 219
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 89
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 308
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 169
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 44
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 27
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 25
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 16
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 9
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.77.1 DX_EP_STUDY None None 3
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 3
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.81.1 CAROTID_STENTING None None 1
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 7
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.85.1 CATH_TOTL None None 304
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2012 12/31/2012 Prime Healthcare Paradise Valley, LLC 2400 East 4th Street None National City CA 91950 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 52
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 19032
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 503
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 13901
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 57
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 20862
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 565
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 15441
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.17.1 PSY_BED_LIC None None 43
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 15738
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.17.3 PSY_DIS None None 1089
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 13068
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 100
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 36600
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 1654
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 28509
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 5
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1830
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 62
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1540
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.44.1 PSY_OPN_CENS_PATIENT None None 12
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 12
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 10
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 2
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 12
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 4
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 7
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.56.1 PSY_CENS_PATIENT_OTHR_THIRDPTY None None 1
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 12
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL Yes None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 208
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 22065
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 302
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 19335
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2012 12/31/2012 Promise Healthcarwe, Inc. 999 Yamato Road , third Floor None Boca Raton FL 33431 James McCabe Open 03/01/1965 03/01/1965 None None None NO None None 90000155 78 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 68
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 24888
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4499
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 14173
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 95
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 34770
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 6022
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 19792
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.1 PSY_BED_LIC None None 12
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 4392
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.3 PSY_DIS None None 274
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 4218
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.1 SN_BED_LIC None None 129
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 47214
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.3 SN_DIS None None 590
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.5 SN_CENS_DAY None None 43019
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 11
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 4026
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 1243
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2762
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 236
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 86376
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6886
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 67029
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1112
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2194
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4392
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 223
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1294
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2589
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 12
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 12
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 2
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 10
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 12
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 7
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 3
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 2
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 12
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.1 NICU_BED_LIC None None 4
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 1464
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.3 NICU_DIS None None 57
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 268
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 719
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 215
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2286
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 8536
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 2
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 9417
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 394
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 4453
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2772
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 25411
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 3383
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 28794
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 20
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 26443
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 49
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 11
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 34
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 7
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 2
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 14
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 20
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 11
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 6
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 11
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 8
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 173
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1789
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 203850
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 4
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 4035
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 339226
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1166
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 328
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-675-4000 David Tam Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 75 36 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 240
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 33360
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 14514
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 47296
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 288
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 40032
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 15574
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 57781
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 288
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 40032
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 15574
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 57781
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 24
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3336
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 1060
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 5243
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 10485
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.5.1 CCU_BED_LIC None None 24
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 3336
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 3196
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 410
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2705
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 17397
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 18
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 21720
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1020
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 13034
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 7790
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 58052
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 9238
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 67290
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 52
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 64867
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 108
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 145
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 147
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 17
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 137
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 83
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 107
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 83
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 41
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 35
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 76
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 979
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1724
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 250420
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 12
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 1247
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 111510
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 12
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Philips CT Big Bore Const None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1004100
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO P-2012-01007 None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP PMC Proj-West-IT NO.2 (2012 IT Cap) None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 1241093
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 6.28.1 PROJ_03_DESCRIP_CAP_EXP PMC Proj-West-TCO Thru Co Labor None None
2012 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 Gerald Bracht Yes 01/01/2012 12/31/2012 Palomar Health 456 Grand Avenue None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 74 38 50 6073020307 161p None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.121464 33.121832 General Acute Care District General Medical / Surgical 6.28.2 PROJ_03_PROJTD_CAP_EXP None None 1476990
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 10
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 3660
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.3 MED_SURG_DIS None None 243
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 507
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 10
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 3660
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 243
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 507
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 10
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 3660
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 243
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 507
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.15.2 ED_PHYSN_AVAIL_ON_CALL Yes None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.1.1 SURG_IP None None 242
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 40063
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.2.1 SURG_OP None None 608
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 53240
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2012 12/31/2012 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 2 4 2 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 61
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 22326
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 2131
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 6916
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 80
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 29280
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 2819
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 9298
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 10
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 3660
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 469
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 977
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 80
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 29280
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 2819
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 9298
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 10
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 449
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 805
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 9
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3294
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 219
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 91
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1405
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 427
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2812
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 4
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 7508
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 37
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 3257
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 497
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1039
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 1507
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 15043
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2045
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 17088
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 15
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 136
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 737
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 91084
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 4
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1319
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 87666
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 444
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 8
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 115
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2012 12/31/2012 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 6 3 6 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63429 38.25402 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 32
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 11712
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 988
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 3420
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 37
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 13542
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 1130
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 4199
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 37
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 13542
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 1130
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 4199
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 5
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1830
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 142
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 208
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 779
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.40.1 BED_SWING_SN None None 10
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 57
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 566
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 3043
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 28
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 2282
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 114
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 396
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 549
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 6344
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 691
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 7035
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 5
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 206
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 437
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 61548
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 1216
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 84702
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP MRI Machine None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 960336
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 06/29/2012 None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Lease None None
2012 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2012 12/31/2012 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Michael Kovacs Open 01/01/1946 01/01/1946 None None None NO None None 110000038 1 2 6 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.1.1 MED_SURG_BED_LIC None None 42
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.1.2 MED_SURG_LICBED_DAY None None 15372
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.15.1 GAC_BED_LIC_SUBTOTL None None 44
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 16104
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.18.1 SN_BED_LIC None None 281
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.18.2 SN_LICBED_DAY None None 102846
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.20.1 IC_DEV_DISBL_BED_LIC None None 981
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.20.2 IC_DEV_DISBL_LICBED_DAY None None 359046
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.25.1 HOSP_BED_LIC_TOTL None None 1306
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.25.2 HOSP_LICBED_DAY_TOTL None None 477996
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.3.1 PED_BED_LIC None None 2
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.3.2 PED_LICBED_DAY None None 732
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.70.1 PSY_PROG_SHDOYL No None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.71.1 HOSPICE_PROG No None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 4.50.1 EMS_AMB_DIVERS No None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 5.15.1 AMB_SURG_PROG No None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 5.31.1 ABC_OP_PROG No None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2012 12/31/2012 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 34 18 21 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Long-Term Care (SN/IC) 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.17.1 PSY_BED_LIC None None 30
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.17.2 PSY_LICBED_DAY None None 10980
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.17.3 PSY_DIS None None 224
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.17.5 PSY_CENS_DAY None None 7612
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.25.1 HOSP_BED_LIC_TOTL None None 30
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.25.2 HOSP_LICBED_DAY_TOTL None None 10980
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.25.3 HOSP_DIS_TOTL None None 224
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.25.5 HOSP_CENS_DAY_TOTL None None 7612
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.44.1 PSY_OPN_CENS_PATIENT None None 19
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.45.1 PSY_CENS_PATIENT_TOTL None None 19
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.47.1 PSY_CENS_PATIENT_18-64 None None 19
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.50.1 PSY_CENS_PATIENT_TOTL None None 19
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 19
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.65.1 PSY_CENS_PATIENT_TOTL None None 19
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.70.1 PSY_PROG_SHDOYL No None None
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.71.1 HOSPICE_PROG No None None
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 4.50.1 EMS_AMB_DIVERS No None None
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 5.15.1 AMB_SURG_PROG No None None
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 5.31.1 ABC_OP_PROG No None None
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 6.1.1 EQUIP_ACQ_OVER_500K No None None
2012 106560838 PACIFIC SHORES HOSPITAL 2130 VENTURA ROAD None OXNARD 93030 805-604-1216-208 Daniel Rozdial Yes 01/01/2012 12/31/2012 Pacific Shores Hospital 26560 Agoura Road NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 35 23 23 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.19437 34.2255 Acute Psychiatric Investor - Corporation Psychiatric 6.25.1 CAP_EXP_OVER_1MIL No None None
2012 206190788 PROVIDENCE LITTLE CO OF MARY SUBACUTE CARE CENTER 3620 WEST LOMITA BOULEVARD None TORRANCE 90505 310-514-5494 NANCY CARLSON No 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 07/17/1972 07/17/1972 None None None NO None None 930001161 53 28 36 6037651101 78.2aaaa South Bay 11 - Los Angeles Los Angeles 930000142 Consolidated Facility -118.34833 33.81459 General Acute Care Non-Profit Corporation (incl. Church-related) Long-Term Care (SN/IC) 3.18.1 SN_BED_LIC None None 200
2012 206190788 PROVIDENCE LITTLE CO OF MARY SUBACUTE CARE CENTER 3620 WEST LOMITA BOULEVARD None TORRANCE 90505 310-514-5494 NANCY CARLSON No 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 07/17/1972 07/17/1972 None None None NO None None 930001161 53 28 36 6037651101 78.2aaaa South Bay 11 - Los Angeles Los Angeles 930000142 Consolidated Facility -118.34833 33.81459 General Acute Care Non-Profit Corporation (incl. Church-related) Long-Term Care (SN/IC) 3.18.2 SN_LICBED_DAY None None 73200
2012 206190788 PROVIDENCE LITTLE CO OF MARY SUBACUTE CARE CENTER 3620 WEST LOMITA BOULEVARD None TORRANCE 90505 310-514-5494 NANCY CARLSON No 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 07/17/1972 07/17/1972 None None None NO None None 930001161 53 28 36 6037651101 78.2aaaa South Bay 11 - Los Angeles Los Angeles 930000142 Consolidated Facility -118.34833 33.81459 General Acute Care Non-Profit Corporation (incl. Church-related) Long-Term Care (SN/IC) 3.25.1 HOSP_BED_LIC_TOTL None None 200
2012 206190788 PROVIDENCE LITTLE CO OF MARY SUBACUTE CARE CENTER 3620 WEST LOMITA BOULEVARD None TORRANCE 90505 310-514-5494 NANCY CARLSON No 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 07/17/1972 07/17/1972 None None None NO None None 930001161 53 28 36 6037651101 78.2aaaa South Bay 11 - Los Angeles Los Angeles 930000142 Consolidated Facility -118.34833 33.81459 General Acute Care Non-Profit Corporation (incl. Church-related) Long-Term Care (SN/IC) 3.25.2 HOSP_LICBED_DAY_TOTL None None 73200
2012 206190788 PROVIDENCE LITTLE CO OF MARY SUBACUTE CARE CENTER 3620 WEST LOMITA BOULEVARD None TORRANCE 90505 310-514-5494 NANCY CARLSON No 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 07/17/1972 07/17/1972 None None None NO None None 930001161 53 28 36 6037651101 78.2aaaa South Bay 11 - Los Angeles Los Angeles 930000142 Consolidated Facility -118.34833 33.81459 General Acute Care Non-Profit Corporation (incl. Church-related) Long-Term Care (SN/IC) 4.50.1 EMS_AMB_DIVERS No None None
2012 206190788 PROVIDENCE LITTLE CO OF MARY SUBACUTE CARE CENTER 3620 WEST LOMITA BOULEVARD None TORRANCE 90505 310-514-5494 NANCY CARLSON No 01/01/2012 12/31/2012 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATLES WA 98104 My Le Open 07/17/1972 07/17/1972 None None None NO None None 930001161 53 28 36 6037651101 78.2aaaa South Bay 11 - Los Angeles Los Angeles 930000142 Consolidated Facility -118.34833 33.81459 General Acute Care Non-Profit Corporation (incl. Church-related) Long-Term Care (SN/IC) 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 66
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 24090
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3042
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 10123
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 107
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 39055
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5553
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 16427
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 14
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 5110
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 1911
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 3366
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 107
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 39055
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 5553
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 16427
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.1 PED_BED_LIC None None 12
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 4380
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.3 PED_DIS None None 376
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.5 PED_CENS_DAY None None 914
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 16
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1724
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2520
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 8
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2920
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 158
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 461
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1695
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.1 NICU_BED_LIC None None 7
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 2555
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.3 NICU_DIS None None 66
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 329
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL IV None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 256
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2164
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 19535
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 13
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 16665
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 68
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 775
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2399
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 39395
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2482
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 41877
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 16
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 236
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1655
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 100360
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 3372
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 113282
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1770
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 22
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 2
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 586
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2013 12/31/2013 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 147
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 53655
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 8524
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 27705
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 199
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 72635
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 10459
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 36504
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 20
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 7300
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 1415
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2831
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 199
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 72635
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 10459
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 36504
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 7
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 2555
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 17
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1147
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2041
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 8
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2920
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 141
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 648
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2033
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 10
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 3650
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 177
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 840
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 2781
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 7
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 2555
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 202
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 46
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 1154
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1738
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 8113
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 21573
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 6
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 11108
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 687
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 2864
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 6287
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 45396
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 6980
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 52376
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 22
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1756
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 1
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 1
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 2
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 1994
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 227193
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 11
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 2096
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 147600
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1332
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 73
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 9
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 413
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 72
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 52
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 72
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 52
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 65
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 401
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 150
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 240
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 57
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 641
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 207
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 633
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 3
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 64
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 4
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 19
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 25
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 188
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 19
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 11
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 1
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 93
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 3
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 24
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 24
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1105
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5007 Brian Smolskis, COO Yes 01/01/2013 12/31/2013 Interhealth Corporation, DBA PIH Health 12401 Washington Boulevard None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 119
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 42200
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4600
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 16378
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 138
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 50630
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 6971
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 24362
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 10
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 3650
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.3 PERINATL_DIS None None 2271
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6706
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 138
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 50630
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6971
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 24362
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 12
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2348
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 6070
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 9
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3285
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 100
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 389
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1278
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 1495
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 2055
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 167514
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.2.1 SURG_OP None None 1306
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 84425
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2356
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 125
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 8
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 922
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 2
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106190307 PACIFIC ALLIANCE MEDICAL CENTER, INC. 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2013 12/31/2013 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 245
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 89425
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 11894
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 52535
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 329
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 120085
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 16061
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 75407
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 48
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 17520
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 41
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 16127
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 35
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 12775
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 3228
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 8461
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 377
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 137605
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 16102
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 91534
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 24
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2695
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5552
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4380
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 453
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1205
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 8780
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 12
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 4380
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 12
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4380
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 314
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 1
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 3086
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 13
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 4745
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 172
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2545
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL II None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 651
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 2
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 10706
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 6
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 30550
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 61
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 24688
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 868
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 9373
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 8494
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 75968
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 9431
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 85399
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 32
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 130
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 96
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 46
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 22
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 29
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 5
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 35
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 42
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 27
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 16
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 24
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 68
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 540
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4127
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 558330
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 8
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 2080
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 211260
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3017
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 147
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 27
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 950
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 8
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 60
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 14
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 60
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 14
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 25
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 954
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 318
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 315
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 3
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1269
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 321
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 850
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 37
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 20
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 14
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 5
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 38
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 1
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 7
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 446
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 2194
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 45
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 101
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 3758
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 8
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Generators None None
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 2875000
2013 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein, M.D. Yes 01/01/2013 12/31/2013 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Deborah Martin Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO S-1329581900 None None
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 27
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 9855
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 291
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 7500
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 36
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 13140
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 327
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 8927
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 36
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 13140
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 327
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 8927
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.3.1 PED_BED_LIC None None 5
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 1825
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 2
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 730
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 18
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 40
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 713
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.5.1 CCU_BED_LIC None None 2
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 730
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.5.3 CCU_DIS None None 18
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 39
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 714
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 102
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 5466
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 MIchael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21227 34.03996 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 230
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 83950
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 13380
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 46308
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 327
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 119355
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 17669
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 67234
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 115
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 41975
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 2224
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 23426
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 22
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8030
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2797
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 7638
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 442
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 161330
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 19893
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 90660
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 13
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 4745
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 687
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1574
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 22
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2448
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5651
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 28
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 10220
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 568
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1544
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 7463
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 34
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 12410
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 237
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 4251
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 472
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 3882
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 21485
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 40
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 19338
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 778
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 10945
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 11360
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 56122
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 12178
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 68300
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 29
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1619
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 124
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 43
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 23
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 11
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 18
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 18
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 32
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 10
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 18
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 10
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 11
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 41
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 359
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3893
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 605640
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 11
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4186
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 370230
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2717
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 124
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 40
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 952
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 106
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 79
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 106
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 79
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 59
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 656
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 257
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 489
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 206
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1145
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 463
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1207
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 100
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 31
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 51
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 532
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 132
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 116
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 9
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 36
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 293
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2507
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 11
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Seismic NPC3 and SPC2 None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 2234826
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP Imaging Project (MRI and CT) None None
2013 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-540-7676 Liz Dunne Yes 01/01/2013 12/31/2013 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 1197191
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 154
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 56210
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 7224
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 40261
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 249
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 90885
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 11311
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 56060
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 29
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10585
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2399
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 7037
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 249
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 90885
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 11311
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 56060
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 18
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 6570
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 1165
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 3484
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 31
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2417
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 7797
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 17
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 6205
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 130
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 904
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 10
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 3650
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 147
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 787
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 21
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 7665
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 246
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 3587
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 280
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 2
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2241
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 20
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 11768
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 1261
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 8125
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1820
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 5603
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2492
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 28017
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5595
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 33612
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 15
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 527
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 415
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 141
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 139
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 79
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 24
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 41
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 18
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 13
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 15
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 11
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 38
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 36
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 21
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 576
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3050
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 464915
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 9
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 3922
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 371314
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2417
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 198
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 35
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 930
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 73
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 1
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 73
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 1
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 57
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 134
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 1304
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 328
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 211
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 462
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 1515
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 462
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 131
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 27
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 12
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 19
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 137
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 231
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 26
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 8
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 194
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 127
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 112
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 26
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 3
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1515
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 9
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Gerald Clute Yes 01/01/2013 12/31/2013 Providence Health and Services 501 Buena Vista None Burbank CA 91505 CATHERINE FISCHL Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 165
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 60225
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1205
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 38464
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 177
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 64605
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 1343
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 42272
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 177
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 64605
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 1343
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 42272
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 7
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2555
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 80
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 217
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2221
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.1 CCU_BED_LIC None None 5
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1825
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.3 CCU_DIS None None 58
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 155
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 1587
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 536
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 30148
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 5
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2013 12/31/2013 None None None None None None Donald Lee Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 190
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 69350
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 10656
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 43319
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 399
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 145635
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 20567
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 92795
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 38
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 13870
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 84
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 30660
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 7014
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 19214
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 437
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 159505
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 20567
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 92795
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 34
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 12410
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 1396
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 3315
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 41
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 5662
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 13062
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 26
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 9490
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 496
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1544
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 7137
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 12
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 4380
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 188
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 782
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 2801
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 53
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 19345
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 817
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 1443
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 17009
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 3
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 3
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 248
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 5
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 9682
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 29
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 34875
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 56
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 24988
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 3161
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 4736
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 6615
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 74529
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 9866
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 84395
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 50
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1294
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 78
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 47
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 25
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 41
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 27
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 26
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 10
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 4
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 2
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 2
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 7
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 8
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 277
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3315
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 395522
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 10
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 6578
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 483278
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 6492
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 475
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 103
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG Yes None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.33.1 ABC_LDRP Yes None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.36.1 BIRTHS_LIVE_ABC None None 4008
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 2484
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 149
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 6
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 149
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 6
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 102
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 302
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 220
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 484
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 115
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 786
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 335
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 786
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 124
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 43
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 71
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 12
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 335
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 300
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 1
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 50
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 41
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 4
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 8
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 9
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 15
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1799
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Magnetom Skyra 3T MRI None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 2228548
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 06/15/2013 None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Business Office Move None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1270297
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP 1st Floor Corridor Modernization/ED Renovation None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 2554094
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.1 PROJ_03_DESCRIP_CAP_EXP Family Health Center Common Space Refurbishment None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.2 PROJ_03_PROJTD_CAP_EXP None None 1081625
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.29.1 PROJ_04_DESCRIP_CAP_EXP Master Plan - Main Lobby Renovation/Outpatient Pavilion Project None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.29.2 PROJ_04_PROJTD_CAP_EXP None None 14225863
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.1 EQUIP_02_DESCRIP Toshiba Single/Bi-Plane None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.2 EQUIP_02_VALUE None None 1213197
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.3 EQUIP_02_ACQUI_DT None 12/31/2013 None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.4 EQUIP_02_ACQUI_MEANS Purchase None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.30.1 PROJ_05_DESCRIP_CAP_EXP CareConnect - Financials/CPOE None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.1 EQUIP_03_DESCRIP AISYS Anesthesia Machines None None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.2 EQUIP_03_VALUE None None 718609
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.3 EQUIP_03_ACQUI_DT None 03/15/2013 None
2013 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2013 12/31/2013 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.4 EQUIP_03_ACQUI_MEANS Purchase None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 324
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 105660
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 12386
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 40566
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 513
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 163845
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 18177
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 66194
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 35
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 12775
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 687
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 6990
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 32
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 11680
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 4243
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 9973
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 548
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 176620
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 18864
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 73184
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 34
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 12410
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 631
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1236
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 3726
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 7122
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 72
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 15480
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 223
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1861
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5456
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 34
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 12410
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 462
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 6090
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 17
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 6205
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 232
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2873
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 832
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4244
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 25934
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 24665
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 5927
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 3858
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5259
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 59533
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 11186
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 70719
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 61
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1406
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 50
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 22
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 15
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 4
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 9
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 3
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 6
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 10
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 7
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 17
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 2
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 11
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 156
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4300
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 573627
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 14
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 9141
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 603149
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 4037
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 247
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 33
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 1562
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 191
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 191
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 151
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 505
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 444
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 351
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 222
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 856
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 666
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1286
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 10
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 165
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 65
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 352
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 35
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 45
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 46
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 318
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 4
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 3
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 20
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 97
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2432
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP CATH LAB IMAGING SYSTEM SIEMENS ARTIS ZEE None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 2089940
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 10/31/2013 None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.1 EQUIP_02_DESCRIP SURGERY INTEGRATION K STORZE CAMERA CONTROL VIDEO None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.2 EQUIP_02_VALUE None None 1400811
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.3 EQUIP_02_ACQUI_DT None 03/31/2013 None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.4 EQUIP_02_ACQUI_MEANS Purchase None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.1 EQUIP_03_DESCRIP MAMMOGRAPHY SYSTEM None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.2 EQUIP_03_VALUE None None 784016
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.3 EQUIP_03_ACQUI_DT None 03/31/2013 None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.4 EQUIP_03_ACQUI_MEANS Purchase None None
2013 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 JAMES WEST Yes 01/01/2013 12/31/2013 INTERHEALTH CORP. DBA PIH HEALTH 12401 WASHINGTON BLVD None WHITTIER CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.04671 33.96775 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.5.1 EQUIP_04_DESCRIP SELINIA MAMMOGRAPHY SYSTEM None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 104
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 37960
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4693
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 15669
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 158
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 57670
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5755
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 23505
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.1 CHEM_BED_LIC None None 48
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.2 CHEM_LICBED_DAY None None 17520
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.3 CHEM_DIS None None 417
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.5 CHEM_CENS_DAY None None 3777
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.1 PSY_BED_LIC None None 25
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 9125
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.3 PSY_DIS None None 548
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 6955
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 125
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 45625
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 194
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 34952
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 22
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8030
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 621
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 1570
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 356
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 129940
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6914
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 69189
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 18
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 621
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1343
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4380
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 143
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 515
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1976
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 23
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 23
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 11
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 12
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 23
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 11
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 5
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 4
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.54.1 PSY_CENS_PATIENT_MNG_MCAL None None 1
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 2
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 23
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 20
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 7300
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 298
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 4290
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 251
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1995
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 15337
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 18
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 11068
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 291
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 5189
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 3478
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 33840
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 3788
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 37628
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 16
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 251
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 508
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 31
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 21
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 15
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 15
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 1
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 8
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 11
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 8
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 12
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 1
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 5
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 21
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 149
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 904
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 126077
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1516
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 128115
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 625
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 12
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 3
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 192
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP SPC2 None None
2013 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 DALE SUROWITZ Yes 01/01/2013 12/31/2013 PROVIDENCE HEALTH SERVICES 506 2ND AE None SEATLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 8000000
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 48
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 17520
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 2431
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 7726
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 95
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 34675
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 3251
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 11724
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.1 PSY_BED_LIC None None 38
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 13870
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.3 PSY_DIS None None 2050
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 14186
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.1 SN_BED_LIC None None 98
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 35770
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.3 SN_DIS None None 97
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.5 SN_CENS_DAY None None 25844
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 16
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 5840
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.3 PERINATL_DIS None None 473
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 1444
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 231
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 84315
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 5398
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 51754
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.1 PED_BED_LIC None None 24
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 8760
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.3 PED_DIS None None 183
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.5 PED_CENS_DAY None None 384
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 419
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 419
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1152
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 7
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2555
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 164
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 296
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2170
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.40.1 BED_SWING_SN None None 49
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 37
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 37
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 35
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 2
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 37
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 5
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 30
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.56.1 PSY_CENS_PATIENT_OTHR_THIRDPTY None None 2
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 37
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 2967
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 9
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4190
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 42
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 1931
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 160
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 1143
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 277
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1022
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2178
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 11253
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2666
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 13919
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 7
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 819
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 139
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 56
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 62
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 44
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 51
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 135
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 90
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 56
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 80
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 66
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 79
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 84
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 942
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 545
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 22778
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 3
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 255
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 11404
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 424
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 36
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 4
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 226
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 3
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2013 12/31/2013 Pacifica of the Valley Corporation 9449 San Fernando Road None Sun Valley CA 91352 Janice Jones Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 269
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 98185
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 13087
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 52458
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 392
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 143080
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 17420
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 79343
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 54
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 19710
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 24
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8760
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2962
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 8038
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 446
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 162790
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 17420
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 79343
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 32
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2473
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 6164
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 38
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 13870
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 726
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1125
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 10782
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 16
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 5840
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 20
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 7300
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 385
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 768
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 4645
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 25
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 9125
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 260
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 3420
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 708
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 7464
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 21993
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 67
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 15681
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1342
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 7421
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 7237
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 53267
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 8648
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 61915
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 38
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 7236
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1795
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 3
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 3
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 1
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 1
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 2
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 1
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 2
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 2
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 5
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 2
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 22
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4413
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 652140
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 15
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4918
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 435000
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2649
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 139
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 29
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 1001
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 74
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 43
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 74
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 43
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 111
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 533
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 85
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 466
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 367
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 999
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 452
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 880
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 92
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 26
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 39
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 46
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 828
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 9
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 4
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 2
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 70
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 67
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 909
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 632
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 9
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 24
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 3
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 62
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 3702
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 15
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-365-8051 Michael A. Rembis Yes 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave Suite 200 None Seattle WA 98104 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32711 34.1559 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 133
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 48545
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 7367
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 28270
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 157
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 57305
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 7980
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 34528
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 157
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 57305
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 7980
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 34528
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 24
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8760
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 613
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 6258
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 5788
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 3
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 14509
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 13
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 22555
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 70
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 3251
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 6240
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 119
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 86
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 46222
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 6412
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 52634
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 35
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1760
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 70
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 91
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 7
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 7
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 25
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 2
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 7
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 22
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 10
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 3
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 21
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 265
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 4027
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 274284
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 1824
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 109014
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 10
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 10
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 10
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 201
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 212
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 147
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 38
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 348
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 250
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 600
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 109
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 259
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 337
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 15
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.75.1 THROMBO_AGT None None 270
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.77.1 DX_EP_STUDY None None 33
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 24
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 47
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 284
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.81.1 CAROTID_STENTING None None 8
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 9
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 1034
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.85.1 CATH_TOTL None None 3029
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP DaVinci Robot None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1942488
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 10/01/2013 None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2013 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard (Dick) Allen Yes 01/01/2013 12/31/2013 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 106
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 38690
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3411
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 10412
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 114
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 41610
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 3545
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 11601
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 114
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 41610
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 3545
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 11601
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 4
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1460
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 67
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 594
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.5.1 CCU_BED_LIC None None 4
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1460
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.5.3 CCU_DIS None None 67
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 595
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1052
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1332
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 8981
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 5
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 8504
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 610
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 2628
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 1878
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 22497
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2493
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 24990
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 20
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 2
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 2
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 1235
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 156930
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 2867
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 243600
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Video Tower and Power Equipment Purchase None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1281224
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 10/14/2013 None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Yorba Linda Health Center None None
2013 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92670 714-524-4800 Kent Clayton Yes 01/01/2013 12/31/2013 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Kristi Liberatore Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842124 33.887223 General Acute Care Investor - Corporation General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1444088
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 23
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 8395
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 341
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 946
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 25
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 9125
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 408
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 1058
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 2
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 730
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 67
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 112
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 25
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 9125
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 408
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 1058
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 65
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 95
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 154
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 651
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 2788
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 1540
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1790
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 6923
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 99
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 7022
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 4
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 230
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 37
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 105
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 9349
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 1
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 201
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 11770
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 68
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 3
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.36.1 BIRTHS_LIVE_ABC None None 55
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 13
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 1
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2013 12/31/2013 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96244 39.93938 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 41
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 14965
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 807
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 3074
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 51
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 18615
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 1047
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 3645
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 6
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 2190
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 178
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 394
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 51
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 18615
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 1047
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 3645
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 6
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 149
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 300
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 4
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1460
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 62
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 177
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 238
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 897
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 5276
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 44
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 2307
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 333
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 564
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 222
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 9282
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 599
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 9881
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 6
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 243
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 446
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 23820
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 647
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 40891
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 149
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 48
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 Sandra Anaya Yes 01/01/2013 12/31/2013 Palo Verde Healthcare District 250 North 1st St. None Blythe CA 92225 Jerome Learson Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 125
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 45625
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 6457
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 27883
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 193
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 70445
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 8967
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 38538
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 28
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10220
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 1818
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 3759
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 193
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 70445
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 8967
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 38538
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 15
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 5475
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 296
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 560
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 20
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1687
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2773
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 13
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4745
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 180
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 409
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 3632
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 12
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4380
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 216
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 152
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 2704
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 2
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 12713
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 13
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 10558
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 20
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 4023
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 5
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 8805
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 46
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1389
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5013
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 37488
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5097
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 42585
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 14
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1090
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 2776
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 358020
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 7
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1575
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 145380
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1858
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 110
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 31
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 675
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 7
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2013 12/31/2013 Parkview Community Hosital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.1 PSY_BED_LIC None None 394
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.2 PSY_LICBED_DAY None None 143810
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.3 PSY_DIS None None 1312
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.5 PSY_CENS_DAY None None 156889
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.1 IC_BED_LIC None None 893
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.2 IC_LICBED_DAY None None 325945
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.3 IC_DIS None None 1124
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.5 IC_CENS_DAY None None 354696
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.1 HOSP_BED_LIC_TOTL None None 1287
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.2 HOSP_LICBED_DAY_TOTL None None 469755
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.3 HOSP_DIS_TOTL None None 2436
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.5 HOSP_CENS_DAY_TOTL None None 511585
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.43.1 PSY_LCK_CENS_PATIENT None None 443
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.45.1 PSY_CENS_PATIENT_TOTL None None 443
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.47.1 PSY_CENS_PATIENT_18-64 None None 429
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.49.1 PSY_CENS_PATIENT_=65 None None 14
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.50.1 PSY_CENS_PATIENT_TOTL None None 443
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 443
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.65.1 PSY_CENS_PATIENT_TOTL None None 443
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.70.1 PSY_PROG_SHDOYL No None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.71.1 HOSPICE_PROG No None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.50.1 EMS_AMB_DIVERS No None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.15.1 AMB_SURG_PROG No None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.31.1 ABC_OP_PROG No None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-73321 Harry Oreol Yes 01/01/2013 12/31/2013 Department of State Hospitals 1600 9th Street, room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 1 1 1 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 174
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 63510
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 7
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 48
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 269
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 98185
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 3558
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 12345
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.17.1 PSY_BED_LIC None None 26
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 9490
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.17.3 PSY_DIS None None 1655
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 7548
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.18.3 SN_DIS None None 351
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.18.5 SN_CENS_DAY None None 15425
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 42
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 15330
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 3098
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6946
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 295
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 107675
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 5564
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 35318
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 4
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 3485
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5769
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 21
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 7665
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 24
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 24
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 23
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 1
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.5.1 CCU_BED_LIC None None 14
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 5110
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 24
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 3
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 7
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.55.1 PSY_CENS_PATIENT_CO_INDIG None None 2
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 7
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.59.1 PSY_CENS_PATIENT_OTHR_INDIG None None 5
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 24
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 18
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 6570
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.9.3 REHAB_DIS None None 453
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 5351
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL II None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 163
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 77
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 726
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 3696
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 4
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 3675
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 130
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1397
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 840
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 9657
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 1051
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 10708
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 15
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 18307
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 460
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1229
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 97370
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 14
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 1528
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 130650
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3369
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 133
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 11
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 1066
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 4
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 SHEILA BROWN Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07585 33.12622 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 128
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 46720
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4451
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 16833
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 188
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 68620
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5932
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 24186
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.16.1 CHEM_BED_LIC None None 18
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.16.2 CHEM_LICBED_DAY None None 6570
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.1 PSY_BED_LIC None None 85
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 31025
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.3 PSY_DIS None None 4683
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 32313
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 23
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8395
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.3 PERINATL_DIS None None 1100
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2338
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 291
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 106215
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 10615
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 56499
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 35
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1077
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1861
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.1 ICU_BED_LIC None None 10
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3650
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.3 ICU_DIS None None 218
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 612
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2753
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 11
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.44.1 PSY_OPN_CENS_PATIENT None None 80
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 91
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 79
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 12
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.1 CCU_BED_LIC None None 5
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1825
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 91
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 57
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 2
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 27
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.56.1 PSY_CENS_PATIENT_OTHR_THIRDPTY None None 2
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 3
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 91
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 22
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 8030
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.3 REHAB_DIS None None 163
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2262
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1258
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 99
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2824
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 21
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 12904
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 100
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 8738
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 132
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 397
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 6232
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 26121
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 6584
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 32705
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.35.1 EMS_STATION None None 20
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 403
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 4
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 4
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.1.1 SURG_IP None None 476
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 41896
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.10.1 OP_RM_TOTL None None 4
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.2.1 SURG_OP None None 817
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 27662
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1077
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 37
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 3
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 362
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 123
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 87
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 210
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 210
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 40
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 37
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 13
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 8
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 2
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 1
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.77.1 DX_EP_STUDY None None 1
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 8
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 6
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 2
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 59
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.85.1 CATH_TOTL None None 387
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2013 12/31/2013 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 52
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 18980
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 418
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 11938
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 57
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 20805
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 487
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 13354
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.17.1 PSY_BED_LIC None None 43
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 15695
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.17.3 PSY_DIS None None 195
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 2345
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 100
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 36500
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 682
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 15699
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 5
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1825
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 69
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1416
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL Yes None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 276
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 8965
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 623
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 22880
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Martha Heubach Yes 01/01/2013 12/31/2013 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Ruth Davalos Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 68
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 24820
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4083
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 14453
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 95
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 34675
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5682
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 20443
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.1 PSY_BED_LIC None None 12
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 4380
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.3 PSY_DIS None None 242
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 4160
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.1 SN_BED_LIC None None 129
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 47085
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.3 SN_DIS None None 606
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.5 SN_CENS_DAY None None 43724
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 11
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 4015
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 1346
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2974
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 236
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 86140
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6530
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 68327
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1215
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2289
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4380
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 197
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1321
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2642
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 9
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 9
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 2
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 7
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 9
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 2
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 6
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 1
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 9
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.1 NICU_BED_LIC None None 4
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 1460
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.3 NICU_DIS None None 56
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 374
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 132
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 122
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1769
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 6537
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 14
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 7626
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 362
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 2723
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2459
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 18787
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2957
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 21744
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 20
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 26101
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 235
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 28
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 39
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 13
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 23
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 16
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 43
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 21
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 13
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 11
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 24
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 23
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 58
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 312
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 995
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 164700
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 4
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 1899
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 169292
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1247
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 396
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 15
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 10
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 25
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 10
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 10
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 5
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.85.1 CATH_TOTL None None 25
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 240
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 87600
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 13966
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 53370
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 288
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 105120
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 16933
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 70308
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 288
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 105120
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 16933
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 70308
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 24
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8760
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 601
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 5000
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 10066
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.5.1 CCU_BED_LIC None None 24
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 8760
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.5.3 CCU_DIS None None 2366
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 1700
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 6872
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 546
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 7
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1795
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 11847
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 40
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 16220
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 937
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 7328
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 7091
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 37736
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 8076
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 45812
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 52
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 68913
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1049
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 169
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 71
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 13
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 27
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 21
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 9
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 8
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 35
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 14
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 33
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 38
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 80
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 518
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 4565
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 676635
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 12
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 3456
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 303255
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 87
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 87
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.55.1 CATH_CARD_RM None None 4
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 707
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 474
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 470
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 226
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1177
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 700
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 768
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 212
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 79
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 659
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 41
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 5
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.77.1 DX_EP_STUDY None None 12
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 106
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 40
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 241
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.85.1 CATH_TOTL None None 2163
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 12
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 GERALD BRACHT Yes 01/01/2013 12/31/2013 PALOMAR HEALTH 456 GRAND AVENUE None ESCONDIDO CA 92026 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11974 33.12145 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 10
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 3650
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.3 MED_SURG_DIS None None 229
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 492
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 10
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 3650
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 229
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 492
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 10
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 3650
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 229
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 492
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.15.2 ED_PHYSN_AVAIL_ON_CALL Yes None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.1.1 SURG_IP None None 225
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 38798
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.2.1 SURG_OP None None 788
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 78317
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2013 12/31/2013 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 61
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 22265
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1832
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 5861
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 80
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 29200
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 2503
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 8163
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 10
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 3650
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 453
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 954
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 80
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 29200
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 2503
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 8163
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 10
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 433
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 793
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 9
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3285
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 218
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 318
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1348
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 611
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2604
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 6
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 7234
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 36
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 3910
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1418
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 466
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 283
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 14825
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 1743
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 16568
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 15
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 149
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 656
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 77843
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 4
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1374
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 98023
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 433
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 4
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 119
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MC DOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2013 12/31/2013 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 32
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 11680
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 806
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 2942
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 37
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 13505
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 891
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 3467
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 37
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 13505
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 891
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 3467
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 5
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1825
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 85
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 128
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 525
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.40.1 BED_SWING_SN None None 10
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 21
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 763
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 3411
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 2
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 2262
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 4
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 459
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 506
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 6916
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 512
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 7428
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 5
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 235
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 405
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 60485
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 1188
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 90006
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-823-8511 Thomas Harlan Yes 01/01/2013 12/31/2013 Palm Drive Health Care District 501 Petaluma Ave None Sebastopol CA 95472 Michael Kovacs Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.82111 38.39836 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.1.1 MED_SURG_BED_LIC None None 42
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.1.2 MED_SURG_LICBED_DAY None None 15330
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.15.1 GAC_BED_LIC_SUBTOTL None None 44
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 16060
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.18.1 SN_BED_LIC None None 281
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.18.2 SN_LICBED_DAY None None 102565
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.20.1 IC_DEV_DISBL_BED_LIC None None 981
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.20.2 IC_DEV_DISBL_LICBED_DAY None None 358065
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.25.1 HOSP_BED_LIC_TOTL None None 1306
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.25.2 HOSP_LICBED_DAY_TOTL None None 476690
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.3.1 PED_BED_LIC None None 2
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.3.2 PED_LICBED_DAY None None 730
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.70.1 PSY_PROG_SHDOYL No None None
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.71.1 HOSPICE_PROG No None None
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 4.50.1 EMS_AMB_DIVERS No None None
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 5.15.1 AMB_SURG_PROG No None None
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 5.31.1 ABC_OP_PROG No None None
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2013 12/31/2013 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.17.1 PSY_BED_LIC None None 30
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.17.2 PSY_LICBED_DAY None None 10950
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.17.3 PSY_DIS None None 174
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.17.5 PSY_CENS_DAY None None 5593
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.25.1 HOSP_BED_LIC_TOTL None None 30
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.25.2 HOSP_LICBED_DAY_TOTL None None 10950
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.25.3 HOSP_DIS_TOTL None None 174
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.25.5 HOSP_CENS_DAY_TOTL None None 5593
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.44.1 PSY_OPN_CENS_PATIENT None None 11
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.45.1 PSY_CENS_PATIENT_TOTL None None 11
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.47.1 PSY_CENS_PATIENT_18-64 None None 11
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.50.1 PSY_CENS_PATIENT_TOTL None None 11
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 11
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.65.1 PSY_CENS_PATIENT_TOTL None None 11
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.70.1 PSY_PROG_SHDOYL No None None
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.71.1 HOSPICE_PROG No None None
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 4.50.1 EMS_AMB_DIVERS No None None
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 5.15.1 AMB_SURG_PROG No None None
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 5.31.1 ABC_OP_PROG No None None
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 6.1.1 EQUIP_ACQ_OVER_500K No None None
2013 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216 Erin Bader Yes 01/01/2013 12/31/2013 Pacific Shores Hospital 26560 Agoua Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.1944575 34.2242869 Acute Psychiatric Investor - Corporation Psychiatric 6.25.1 CAP_EXP_OVER_1MIL No None None
2013 206190788 PROVIDENCE LITTLE CO OF MARY SUBACUTE CARE CENTER 3620 WEST LOMITA BOULEVARD None TORRANCE 90505 310-514-5494 Dale Surowitz No 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave None Seatles WA 98104 My Le Closed 08/04/2013 07/17/1972 None None None NO None None 930001161 66 26 43 6037651101 78.2aaaa South Bay 11 - Los Angeles Los Angeles 930000142 Consolidated Facility -118.34833 33.81459 General Acute Care Non-Profit Corporation (incl. Church-related) Long-Term Care (SN/IC) 3.18.1 SN_BED_LIC None None 200
2013 206190788 PROVIDENCE LITTLE CO OF MARY SUBACUTE CARE CENTER 3620 WEST LOMITA BOULEVARD None TORRANCE 90505 310-514-5494 Dale Surowitz No 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave None Seatles WA 98104 My Le Closed 08/04/2013 07/17/1972 None None None NO None None 930001161 66 26 43 6037651101 78.2aaaa South Bay 11 - Los Angeles Los Angeles 930000142 Consolidated Facility -118.34833 33.81459 General Acute Care Non-Profit Corporation (incl. Church-related) Long-Term Care (SN/IC) 3.18.2 SN_LICBED_DAY None None 73000
2013 206190788 PROVIDENCE LITTLE CO OF MARY SUBACUTE CARE CENTER 3620 WEST LOMITA BOULEVARD None TORRANCE 90505 310-514-5494 Dale Surowitz No 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave None Seatles WA 98104 My Le Closed 08/04/2013 07/17/1972 None None None NO None None 930001161 66 26 43 6037651101 78.2aaaa South Bay 11 - Los Angeles Los Angeles 930000142 Consolidated Facility -118.34833 33.81459 General Acute Care Non-Profit Corporation (incl. Church-related) Long-Term Care (SN/IC) 3.25.1 HOSP_BED_LIC_TOTL None None 200
2013 206190788 PROVIDENCE LITTLE CO OF MARY SUBACUTE CARE CENTER 3620 WEST LOMITA BOULEVARD None TORRANCE 90505 310-514-5494 Dale Surowitz No 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave None Seatles WA 98104 My Le Closed 08/04/2013 07/17/1972 None None None NO None None 930001161 66 26 43 6037651101 78.2aaaa South Bay 11 - Los Angeles Los Angeles 930000142 Consolidated Facility -118.34833 33.81459 General Acute Care Non-Profit Corporation (incl. Church-related) Long-Term Care (SN/IC) 3.25.2 HOSP_LICBED_DAY_TOTL None None 73000
2013 206190788 PROVIDENCE LITTLE CO OF MARY SUBACUTE CARE CENTER 3620 WEST LOMITA BOULEVARD None TORRANCE 90505 310-514-5494 Dale Surowitz No 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave None Seatles WA 98104 My Le Closed 08/04/2013 07/17/1972 None None None NO None None 930001161 66 26 43 6037651101 78.2aaaa South Bay 11 - Los Angeles Los Angeles 930000142 Consolidated Facility -118.34833 33.81459 General Acute Care Non-Profit Corporation (incl. Church-related) Long-Term Care (SN/IC) 4.50.1 EMS_AMB_DIVERS No None None
2013 206190788 PROVIDENCE LITTLE CO OF MARY SUBACUTE CARE CENTER 3620 WEST LOMITA BOULEVARD None TORRANCE 90505 310-514-5494 Dale Surowitz No 01/01/2013 12/31/2013 Providence Health Services 506 2nd Ave None Seatles WA 98104 My Le Closed 08/04/2013 07/17/1972 None None None NO None None 930001161 66 26 43 6037651101 78.2aaaa South Bay 11 - Los Angeles Los Angeles 930000142 Consolidated Facility -118.34833 33.81459 General Acute Care Non-Profit Corporation (incl. Church-related) Long-Term Care (SN/IC) 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 66
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 24090
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 2872
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 9809
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 107
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 39055
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5382
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 16142
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 14
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 5110
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 1975
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 3494
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 107
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 39055
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 5382
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 16142
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.3.1 PED_BED_LIC None None 12
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 4380
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.3.3 PED_DIS None None 252
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.3.5 PED_CENS_DAY None None 639
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 25
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1737
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2638
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 8
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2920
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 139
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 407
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1638
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.8.1 NICU_BED_LIC None None 7
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 2555
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.8.3 NICU_DIS None None 144
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 562
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL IV None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1116
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1183
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 23368
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 34
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 14380
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 74
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 825
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2311
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 40872
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2420
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 43292
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 16
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 353
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1649
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 102687
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 2663
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 122107
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1873
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 30
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 4
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 682
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2014 12/31/2014 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.552964 32.959967 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 147
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 53655
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 7410
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 25144
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 199
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 72635
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 9066
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 32831
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 20
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 7300
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 1160
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2204
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 199
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 72635
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 9066
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 32831
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 7
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 2555
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 17
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 948
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1644
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 8
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2920
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 158
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 451
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1967
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 10
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 3650
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 172
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 562
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 2520
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 7
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 2555
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 166
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 71
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 996
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 423
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 6129
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 15636
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 2
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 19743
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 22
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 2935
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 6101
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 44866
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 6127
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 50993
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 22
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 3749
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 8
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 5
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 3
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 6
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 36
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 51
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 106
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 134
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 247
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 107
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 111
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 65
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 879
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 1757
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 171736
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 11
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1979
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 139964
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1093
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 73
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 9
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 342
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 55
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 55
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 47
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 331
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 113
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 202
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 47
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 533
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 160
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 656
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 3
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 88
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 35
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 14
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 10
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 192
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 12
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 3
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 9
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 3
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 5
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 7
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1031
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Space Labs None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 950000
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 06/13/2014 None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Pharmacy Remodel None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1550000
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO S140641-19-00 None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP VSI Phase II, Increment NO.3 None None
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 3500000
2014 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2014 12/31/2014 Interhealth Corporation, DBA PIH Health 2401 Washing Boulevaqrd None Whittier CA 90601 Nancy Stoner Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.131957 33.935152 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.3 PROJ_02_OSHPD_PROJ_NO IL0880-2-19A None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 119
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 43435
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4493
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 17627
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 138
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 50370
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 7026
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 25349
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 10
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 3650
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.2.3 PERINATL_DIS None None 2426
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6599
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 138
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 50370
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 7026
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 25349
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 12
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2448
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5790
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 9
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3285
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 107
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 427
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1123
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 2038
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 179229
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.2.1 SURG_OP None None 1347
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 90560
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2448
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 124
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 5
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 928
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 2
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP CT scanner (General Electric Lightspeed VCT) None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 551916
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 06/27/2014 None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Lease None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Seismic Retrofit None None
2014 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2014 12/31/2014 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207100 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.239322 34.064667 General Acute Care Investor - Partnership General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 12000000
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 245
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 89425
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 15457
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 51943
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 329
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 120085
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 19885
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 75647
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 48
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 17520
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 57
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 15580
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 35
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 12775
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 3519
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 8986
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 377
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 137605
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 19942
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 91227
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 24
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 3057
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 6116
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4380
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 446
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1246
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 8313
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 12
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 4380
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 12
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4380
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 283
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 32
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 3821
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 13
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 4745
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 180
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2584
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL II None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 894
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 9143
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 34499
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 35
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 26546
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 893
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 10500
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 7914
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 81582
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 8844
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 90426
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 32
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1004
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 155
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 31
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 35
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 50
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 32
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 29
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 15
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 41
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 38
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 25
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 3
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 58
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 512
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4782
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 586281
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 10
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1882
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 223077
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3282
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 176
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 30
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 1026
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 8
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 79
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 8
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 79
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 8
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 45
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 368
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 174
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 170
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 144
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 538
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 318
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 538
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 42
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 25
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 9
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 10
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 377
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 26
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 4
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 2
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 1
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 1
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 79
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 57
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 2
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 54
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1227
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Generator None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 3875000
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP Holy Cross Laboratory Renovation None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 1115964
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.1 PROJ_03_DESCRIP_CAP_EXP Tube System Replacement None None
2014 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2014 12/31/2014 Providence Health Systems 1801 Lind Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037106606 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.459091 34.279048 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.2 PROJ_03_PROJTD_CAP_EXP None None 2052619
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 27
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 9855
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 283
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 8011
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 36
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 13140
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 320
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 9364
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 36
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 13140
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 320
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 9364
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.3.1 PED_BED_LIC None None 5
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 1825
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 2
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 730
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 19
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 28
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 677
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.5.1 CCU_BED_LIC None None 2
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 730
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.5.3 CCU_DIS None None 18
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 26
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 676
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 105
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 5733
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 2
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 323-261-1181 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.212467 34.039587 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 230
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 83950
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 13626
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 46185
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 327
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 119355
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 17795
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 66325
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 115
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 41975
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 2218
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 23155
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 22
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8030
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2776
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 7459
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 442
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 161330
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 20013
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 89480
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 13
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 4745
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 626
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1403
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 22
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2470
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5675
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 28
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 10220
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 551
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1547
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 7117
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.73.1 HOSPICE_CLASS_SN_BED Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 34
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 12410
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 216
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 4161
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 2
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 650
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 2
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4167
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 3
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 22519
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 38
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 21504
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1147
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 11205
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 11344
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 60045
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 12534
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 72579
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 29
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 730
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 120
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 110
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 52
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 76
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 37
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 15
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 17
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 30
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 65
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 52
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 66
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 49
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 689
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3848
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 573241
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 11
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4089
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 371543
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2656
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 137
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 27
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 872
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 154
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 111
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 154
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 111
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 79
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 684
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 440
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 376
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 137
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1060
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 577
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1321
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 191
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 29
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 60
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 1
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 543
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 158
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 25
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 51
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 150
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 84
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 68
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 31
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 198
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2910
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 11
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP MRI None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 2249010
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 09/30/2014 None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Seismic NCP3 and SPC2 None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 2584238
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP Imaging Project (MRI CT) None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 5612537
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.1 PROJ_03_DESCRIP_CAP_EXP Flooring replacement None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.2 PROJ_03_PROJTD_CAP_EXP None None 1646567
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.1 EQUIP_02_DESCRIP CT Scanner None None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.2 EQUIP_02_VALUE None None 1629257
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.3 EQUIP_02_ACQUI_DT None 01/31/2014 None
2014 106190470 PROVIDENCE LITTLE COMPANY OF MARY MC - TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Liz Dunne Yes 01/01/2014 12/31/2014 Providence Health and Services 506 2nd Avenue None Seattle WA 98104 Aileen Marifosque Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.357051 33.837608 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.4 EQUIP_02_ACQUI_MEANS Purchase None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 154
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 56210
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 7189
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 33288
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 249
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 90885
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 13072
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 58986
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 29
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10585
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2636
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 7191
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 249
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 90885
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 13072
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 58986
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 18
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 6570
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 1059
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 3030
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 31
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2446
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5898
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 17
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 6205
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 702
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 6643
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 10
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 3650
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 1182
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 4928
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 21
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 7665
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 304
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 3906
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 3
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 3
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 2
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 324
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1975
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 9477
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 37
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 7292
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1043
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 3354
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5384
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 22422
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 6466
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 28888
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 15
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 222
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 143
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 3
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 3
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 6
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 11
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 8
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 4
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 9
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 8
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 1
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 22
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 218
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 2940
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 460035
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 13
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 3580
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 354508
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2532
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 261
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 31
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 1047
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 88
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 88
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 70
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 152
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 238
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 361
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 558
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 513
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 796
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 819
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 105
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 106
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 21
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 101
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 349
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 50
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 390
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 257
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 62
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 9
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 124
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2393
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 13
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2014 12/31/2014 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139400 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.5326 34.169798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 165
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 60225
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1473
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 44714
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 177
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 64605
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 1619
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 48596
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 177
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 64605
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 1619
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 48596
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 7
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2555
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 85
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 248
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2264
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.5.1 CCU_BED_LIC None None 5
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1825
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.5.3 CCU_DIS None None 61
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 177
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 1618
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 609
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 31656
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 5.2.1 SURG_OP None None 4
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 158
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2014 12/31/2014 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.161429 33.885151 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 190
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 69350
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 9641
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 41069
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 399
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 145635
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 20017
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 90799
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 38
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 2318
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 84
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 30660
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 7578
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 19856
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 437
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 147953
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 20017
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 90799
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 34
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 12410
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 1248
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 2758
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 41
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 6389
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 14013
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 26
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 9490
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 467
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1671
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 6710
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 12
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 4380
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 211
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 888
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 2811
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 53
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 19345
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 872
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 1572
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 17595
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 10988
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 8
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 38788
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 45
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 26394
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 2273
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 6239
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 6583
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 82409
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 8909
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 91318
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 50
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 2181
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 9
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 6
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 1
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 4
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 8
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 4
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 3
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 3
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 31
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 13
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 5
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 26
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 113
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3300
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 391889
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 10
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 6614
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 510726
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 7124
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 556
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 128
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG Yes None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.33.1 ABC_LDRP Yes None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.36.1 BIRTHS_LIVE_ABC None None 4588
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 2536
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 149
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 23
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 149
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 23
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 144
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 398
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 244
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 474
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 111
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 872
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 355
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 872
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 104
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 38
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 68
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 25
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 319
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 33
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 1
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 58
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 28
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 26
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 23
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 13
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 37
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1645
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP System Vascular VF-1/SP Type S None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1821899
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 06/15/2014 None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Make Ready Projects None None
2014 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2014 12/31/2014 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.752328 34.077934 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1349639
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 324
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 118260
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 13201
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 40023
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 513
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 187245
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 18759
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 66207
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 35
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 12775
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 676
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 6938
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 32
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 11680
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 4069
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 9271
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 548
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 200020
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 19435
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 73145
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 34
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 12410
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 562
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1118
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 3625
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 6824
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 72
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 26280
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 160
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 2020
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5675
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 34
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 12410
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 469
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 6379
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 17
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 6205
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 298
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 3741
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1108
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 6001
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 25385
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 27458
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 5890
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 4695
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5874
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 64647
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 11764
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 76411
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 61
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1576
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 5
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 2
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 1
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 8
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4572
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 597618
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 14
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 9597
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 565255
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 4003
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 248
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 48
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 1483
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 150
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 150
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 107
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 782
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 440
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 447
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 227
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1229
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 667
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1229
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 204
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 59
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 324
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 31
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 51
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 47
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 353
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 4
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 2
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 32
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 68
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2400
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Artis Zee Ceiling IR Lab Version Siemens None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1488084
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 09/15/2014 None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2014 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14800 James West Yes 01/01/2014 12/31/2014 Interhealth Corp dba PIH Health 12401 Washington Blvd None Whittier CA 90602 Sue Ponce Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.047962 33.967446 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 104
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 37960
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3960
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 12741
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 158
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 57670
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5078
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 20655
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.1 CHEM_BED_LIC None None 48
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.2 CHEM_LICBED_DAY None None 17520
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.3 CHEM_DIS None None 349
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.5 CHEM_CENS_DAY None None 2944
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.1 PSY_BED_LIC None None 25
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 9125
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.3 PSY_DIS None None 531
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 6085
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 125
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 45625
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 799
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 38522
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 22
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8030
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 640
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 1464
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 356
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 129940
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6757
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 68206
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 18
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 613
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1269
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4380
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 176
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 528
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2318
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 16
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 16
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 9
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 7
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 16
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 9
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 4
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 1
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 2
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 16
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 20
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 7300
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 302
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 4132
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 516
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 3960
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 5
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 16169
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 25
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 12881
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 342
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 9442
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2742
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 42968
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 3114
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 46082
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 16
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 163
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 18
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 13
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 18
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 23
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 28
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 29
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 19
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 24
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 26
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 27
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 14
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 19
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 258
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 800
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 113475
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1459
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 120851
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 592
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 13
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 172
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 GARRY OLNEY Yes 01/01/2014 12/31/2014 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 48
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 17520
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 2728
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 8284
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 95
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 34675
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 3287
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 11021
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.17.1 PSY_BED_LIC None None 38
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 13870
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.17.3 PSY_DIS None None 1633
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 13169
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.18.1 SN_BED_LIC None None 98
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 35770
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.18.3 SN_DIS None None 100
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.18.5 SN_CENS_DAY None None 25683
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 16
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 5840
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.2.3 PERINATL_DIS None None 349
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 1072
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 231
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 84315
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 5020
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 49873
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.3.1 PED_BED_LIC None None 24
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 8760
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.3.3 PED_DIS None None 42
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.3.5 PED_CENS_DAY None None 98
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 335
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 335
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 872
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 7
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2555
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 168
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 246
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1567
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 35
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 35
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 35
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 35
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 3
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 30
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.54.1 PSY_CENS_PATIENT_MNG_MCAL None None 2
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 35
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 3105
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 18
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 3985
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 33
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 2002
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 202
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 1047
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 297
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 900
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2053
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 11039
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2603
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 13642
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 7
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 668
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 6
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 25
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 6
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 18
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 22
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 12
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 31
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 3
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 13
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 67
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 203
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 472
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 22487
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 3
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 254
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 11658
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 336
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 18
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 2
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 182
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 3
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA Yes 01/01/2014 12/31/2014 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.395421 34.240869 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 196
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 71540
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 9505
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 37373
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 266
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 97090
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 12230
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 51124
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 29
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10585
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2228
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6519
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 266
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 97090
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 12230
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 51124
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 24
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2039
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 56185
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 23
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8395
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 356
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 814
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 4846
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 18
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 6570
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 141
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 113
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 2386
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 2
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 2
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 2356
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 9
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 8996
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 41
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 8493
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 73
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 2219
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 41
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 645
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 6752
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 22709
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 6916
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 29625
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 27
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 753
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 130
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 79
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 30
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 49
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 84
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 58
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 61
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 107
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 93
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 97
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 112
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 184
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 1084
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4881
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 912876
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 13
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 2446
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 285667
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2166
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 56
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 18
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 90
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 1
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 90
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 1
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 53
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 4
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 229
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 498
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 359
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 314
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 588
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 812
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 567
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 1
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 100
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 51
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 38
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 26
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 213
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 27
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 2
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.76.1 PTBV None None 8
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 125
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 133
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 279
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 138
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 21
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 4
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 73
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1805
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 12
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave. SW None Renton WA 98057 Carol ODea Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 269
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 98185
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 12494
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 50433
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 392
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 143080
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 16363
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 71607
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 54
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 19710
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 24
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8760
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2469
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6872
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 446
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 162790
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 16363
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 71607
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 32
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 38
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 13870
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 863
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 131
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 7115
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 16
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 5840
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 20
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 7300
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 304
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 37
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 4339
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 25
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 9125
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 233
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2848
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 551
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 5329
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 16144
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 66
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 14181
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1117
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 7243
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 6186
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 43448
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 7370
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 50818
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 38
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 8250
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1562
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 20
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 3
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 2
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 8
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 7
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 6
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 16
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 4
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 5
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 7
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 5
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 8
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 91
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4039
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 637440
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 15
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4073
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 413460
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2361
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 181
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 47
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 878
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 46
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 36
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 46
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 36
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 63
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 846
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 749
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 846
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 749
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 834
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 74
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 24
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 36
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 21
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 437
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 50
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 3
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 6
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 72
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 60
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 681
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 446
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 2
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 27
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 7
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 72
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2852
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 15
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP ICU Beds-Sport2 Bed System None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1040860
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 04/04/2014 None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP 2014-CA-PSJMC Neuro OP Clinic None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 2850000
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP 2014-CA-EP Lab Clinic None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 1400000
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.1 PROJ_03_DESCRIP_CAP_EXP 2014-CA-PSJMC Bi-Plane Angio None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.2 PROJ_03_PROJTD_CAP_EXP None None 4300000
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.29.1 PROJ_04_DESCRIP_CAP_EXP 2014-CA-PSJMC Breast Center to DFCC None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.29.2 PROJ_04_PROJTD_CAP_EXP None None 1150000
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.1 EQUIP_02_DESCRIP AMX Portable Imaging System-CR/DR None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.2 EQUIP_02_VALUE None None 558119
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.3 EQUIP_02_ACQUI_DT None 04/01/2014 None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.4 EQUIP_02_ACQUI_MEANS Purchase None None
2014 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2014 12/31/2014 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.326645 34.155057 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.30.1 PROJ_05_DESCRIP_CAP_EXP 2014-CA-Fire Alarm Head End None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 133
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 48545
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 6913
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 29738
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 157
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 57305
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 8385
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 36738
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 157
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 57305
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 8385
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 36738
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 24
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8760
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 1472
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 7000
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 3940
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 4
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2963
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 22223
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 17
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 27306
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 68
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 3315
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 6560
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 59747
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 6649
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 66396
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 35
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 905
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 82
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 48
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 18
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 24
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 12
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 28
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 10
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 2
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 17
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 15
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 1
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 8
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 265
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 4106
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 281760
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 2223
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 130674
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 7
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 7
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 7
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 360
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 101
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 376
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 50
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 736
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 151
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 514
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 25
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 10
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 29
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 11
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 175
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 12
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 2
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.77.1 DX_EP_STUDY None None 17
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 16
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 78
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 71
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.81.1 CAROTID_STENTING None None 7
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 4
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 6
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 22
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.85.1 CATH_TOTL None None 999
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000 Richard Allen Yes 01/01/2014 12/31/2014 Universal Health Services, Inc 367 S. Gulph Rd None King of Prussia PA 19406 Nawanna Chaidez Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.144527 34.583898 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 106
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 38690
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3011
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 10002
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 114
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 41610
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 3183
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 11277
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 114
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 41610
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 3183
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 11277
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 4
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1460
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 86
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 548
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 637
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.5.1 CCU_BED_LIC None None 4
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1460
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.5.3 CCU_DIS None None 86
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 549
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 638
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 968
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1305
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 9557
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 3
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 9965
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 543
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 2936
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 1787
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 24731
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2333
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 27064
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 20
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 1
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 1
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 2
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 1126
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 136710
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 2861
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 247290
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Olympus GI Video Scopes None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 617000
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 12/31/2014 None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Lease None None
2014 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-524-4800 Charles Natcher Yes 01/01/2014 12/31/2014 Tenet Healthcare Corporation 1445 Ross Avenue Suite 1400 None Dallas TX 75202 Annie Bartolome Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.842072 33.886722 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 23
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 8395
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 305
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 920
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 25
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 9125
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 370
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 1046
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 2
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 730
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 65
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 126
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 25
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 9125
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 370
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 1046
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 68
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 119
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 426
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1298
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 2979
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 1496
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1374
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 7573
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 95
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 7668
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 4
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 126
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 40
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 105
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 9783
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 1
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 208
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 10492
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 69
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 4
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 25
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 1
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Dr. Kepple Yes 01/01/2014 12/31/2014 None None None None None None Patti Transue-Nordt Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.962195 39.939218 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 41
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 14965
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 741
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 2927
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 51
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 18615
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 963
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 3432
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 6
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 2190
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 183
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 390
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 51
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 18615
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 963
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 3432
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 6
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 157
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 317
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 4
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1460
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 39
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 115
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 176
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 731
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 4877
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 30
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 2709
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 288
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 587
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 266
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 9080
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 584
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 9664
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 6
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 169
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 271
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 18678
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 745
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 50864
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 157
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 63
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4114 SANDRA ANAYA Yes 01/01/2014 12/31/2014 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.595497 33.61304 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 125
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 45625
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 6998
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 29010
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 193
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 70445
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 10002
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 40516
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 28
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10220
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2316
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 4836
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 193
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 70445
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 10002
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 40516
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 15
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 5475
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 269
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 525
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 20
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2168
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 3511
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 13
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4745
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 183
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 401
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 3396
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 12
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4380
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 236
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 170
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 2749
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 14263
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 20
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 9828
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 4
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 5271
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 21
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 9525
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 53
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1460
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5410
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 40347
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5508
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 45855
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 14
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1990
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3116
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 378870
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 7
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1434
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 132930
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2363
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 132
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 45
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 900
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 7
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Endoscopy None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 569740
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 04/15/2014 None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Lease None None
2014 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2014 12/31/2014 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503-3919 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.440107 33.92581 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.17.1 PSY_BED_LIC None None 394
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.17.2 PSY_LICBED_DAY None None 143810
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.17.3 PSY_DIS None None 1344
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.17.5 PSY_CENS_DAY None None 156431
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.19.1 IC_BED_LIC None None 893
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.19.2 IC_LICBED_DAY None None 325945
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.19.3 IC_DIS None None 1062
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.19.5 IC_CENS_DAY None None 350272
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.25.1 HOSP_BED_LIC_TOTL None None 1287
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.25.2 HOSP_LICBED_DAY_TOTL None None 469755
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.25.3 HOSP_DIS_TOTL None None 2406
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.25.5 HOSP_CENS_DAY_TOTL None None 506703
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.43.1 PSY_LCK_CENS_PATIENT None None 431
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.45.1 PSY_CENS_PATIENT_TOTL None None 431
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.47.1 PSY_CENS_PATIENT_18-64 None None 418
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.49.1 PSY_CENS_PATIENT_=65 None None 13
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.50.1 PSY_CENS_PATIENT_TOTL None None 431
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 431
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.65.1 PSY_CENS_PATIENT_TOTL None None 431
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.70.1 PSY_PROG_SHDOYL No None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.71.1 HOSPICE_PROG No None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 4.50.1 EMS_AMB_DIVERS No None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 5.15.1 AMB_SURG_PROG No None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 5.31.1 ABC_OP_PROG No None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7332 HARRY OREOL Yes 01/01/2014 12/31/2014 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Julie DePalma Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071007500 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.215409 34.13771 Acute Psychiatric State Psychiatric 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 174
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 63510
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1497
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 2439
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 269
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 98185
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 3886
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 14322
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.17.1 PSY_BED_LIC None None 25
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 9125
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.17.3 PSY_DIS None None 1475
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 8279
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 42
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 15330
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 1861
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 4946
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 294
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 107310
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 5361
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 22601
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 30
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 3276
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5340
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 21
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 7665
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 12
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 12
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 11
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 1
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.5.1 CCU_BED_LIC None None 14
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 5110
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 12
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 6
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 2
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.54.1 PSY_CENS_PATIENT_MNG_MCAL None None 4
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 12
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 18
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 6570
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.9.3 REHAB_DIS None None 528
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 6937
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL II None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.15.2 ED_PHYSN_AVAIL_ON_CALL Yes None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 52
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1130
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 5217
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 1
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 4185
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 7
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 945
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 14
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 11529
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 23
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 11552
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 20
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 25865
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 155
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1214
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 76617
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 11
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 2260
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 163641
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3252
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 259
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 132
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 1080
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 11
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.076283 33.125865 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 128
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 46720
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3989
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 15990
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 188
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 68620
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5596
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 23670
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.16.1 CHEM_BED_LIC None None 18
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.16.2 CHEM_LICBED_DAY None None 6570
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.1 PSY_BED_LIC None None 85
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 31025
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.3 PSY_DIS None None 4224
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 34829
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 23
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8395
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.3 PERINATL_DIS None None 1264
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2690
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 291
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 106215
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 9820
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 58499
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 35
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1241
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2142
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.1 ICU_BED_LIC None None 10
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3650
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.3 ICU_DIS None None 163
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 518
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2425
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 10
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.44.1 PSY_OPN_CENS_PATIENT None None 76
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 86
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 78
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 8
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.1 CCU_BED_LIC None None 5
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1825
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.3 CCU_DIS None None 8
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 48
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 80
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 86
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 21
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 9
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 48
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.54.1 PSY_CENS_PATIENT_MNG_MCAL None None 4
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.56.1 PSY_CENS_PATIENT_OTHR_THIRDPTY None None 2
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.59.1 PSY_CENS_PATIENT_OTHR_INDIG None None 2
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 86
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 22
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 8030
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.3 REHAB_DIS None None 172
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2485
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1099
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 67
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1068
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 10
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 7452
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 40
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 9452
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 78
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 7341
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5784
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 26412
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5979
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 32391
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.35.1 EMS_STATION None None 20
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 388
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 7
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 6
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 2
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 8
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 2
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 9
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 8
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 17
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 3
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 1
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 8
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 71
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.1.1 SURG_IP None None 506
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 43524
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.2.1 SURG_OP None None 962
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 31058
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1241
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 38
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 3
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 432
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 91
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 87
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 178
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 168
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 29
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 15
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 17
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 15
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 1
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 7
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 13
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 12
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 98
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.85.1 CATH_TOTL None None 375
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP GE Innova IGS 530 cath lab None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1128866
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 09/01/2014 None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Lease None None
2014 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2014 12/31/2014 Prime Healthcare Services 3300 E Gausti Road None Ontario CA 91761 Janet Caceres Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.083043 32.686343 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 52
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 18980
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 429
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 10051
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 57
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 20805
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 510
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 11428
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.17.1 PSY_BED_LIC None None 43
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 15695
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 100
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 36500
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 510
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 11428
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 5
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1825
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 81
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1377
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 300
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 7555
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 670
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 21076
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2014 12/31/2014 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.076217 32.747817 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 68
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 24820
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4232
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 14471
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 95
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 34675
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5907
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 20850
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.17.1 PSY_BED_LIC None None 12
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 4380
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.17.3 PSY_DIS None None 196
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 4185
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.18.1 SN_BED_LIC None None 129
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 47085
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.18.3 SN_DIS None None 576
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.18.5 SN_CENS_DAY None None 43798
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 11
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 4015
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 1491
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 3211
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 236
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 86140
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6679
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 68833
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 19
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1384
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2565
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4380
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 115
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 116
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2763
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 12
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 12
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 2
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 10
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 12
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 3
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 8
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.54.1 PSY_CENS_PATIENT_MNG_MCAL None None 1
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 12
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.8.1 NICU_BED_LIC None None 4
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 1460
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.8.3 NICU_DIS None None 69
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 405
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 91
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 166
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1017
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 5565
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 11
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 7577
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 167
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 3045
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2455
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 17295
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2801
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 20096
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 17
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 257
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 3
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 82
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 32
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 79
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 39
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 47
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 24
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 44
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 30
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 60
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 34
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 45
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 47
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 563
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1251
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 139322
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 4
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 1794
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 142260
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1431
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 17
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 2
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 430
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 28
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 10
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 38
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 38
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 42
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 12
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.85.1 CATH_TOTL None None 92
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP POP RETAIL PHARMACY None None
2014 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 DAVID TAM Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017007 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.057913 32.995823 General Acute Care District General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 2270000
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 240
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 87600
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 17890
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 64192
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 288
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 105120
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 18180
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 74266
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 288
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 105120
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 18180
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 74266
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 24
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8760
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 145
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 145
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5037
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.5.1 CCU_BED_LIC None None 24
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 8760
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.5.3 CCU_DIS None None 145
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 145
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 5037
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 358
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 2
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1881
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 12438
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 35
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 18720
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 932
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 8809
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 8407
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 42206
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 9376
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 51582
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 52
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 360
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 5
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 115
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 59
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 18
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 22
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 98
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 50
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 58
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 54
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 133
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 60
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 62
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 119
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 848
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 5575
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 807938
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 11
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 3176
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 270765
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 74
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 74
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 74
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.55.1 CATH_CARD_RM None None 4
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 822
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 520
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 487
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 246
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1309
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 766
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 436
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 278
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 8
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 82
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 7
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 436
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 18
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 6
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.77.1 DX_EP_STUDY None None 10
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 117
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.81.1 CAROTID_STENTING None None 28
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 49
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 78
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.85.1 CATH_TOTL None None 1553
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 11
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92025 442-281-5000 LORIE SHOEMAKER Yes 01/01/2014 12/31/2014 PALOMAR HEALTH 456 EAST GRAND AVENUE None ESCONDIDO CA 92025-3319 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.119556 33.121638 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 10
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 3650
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.1.3 MED_SURG_DIS None None 266
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 566
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 10
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 3650
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 266
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 566
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 10
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 3650
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 266
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 566
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 4.15.2 ED_PHYSN_AVAIL_ON_CALL Yes None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 5.1.1 SURG_IP None None 266
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 45786
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 5.2.1 SURG_OP None None 717
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 71409
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2014 12/31/2014 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010600 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.416613 40.585508 General Acute Care Investor - individual General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 61
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 22265
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1934
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 6499
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 80
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 29200
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 2612
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 8729
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 10
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 3650
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 471
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 987
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 80
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 29200
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 2612
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 8729
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 10
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 452
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 817
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 9
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3285
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 207
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 311
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1243
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1084
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 2
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1751
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 8270
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 43
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 3936
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1353
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 581
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 406
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 15622
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 1806
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 17428
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 15
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 366
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 681
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 79222
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 4
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1348
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 98632
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 447
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 9
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 2
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 108
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP PVH Chiller Replacement None None
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1188426
2014 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-778-1111 Todd Salnas Yes 01/01/2014 12/31/2014 St. Joseph Health 3345 Michelson Drive Suite 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150605 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.633016 38.253225 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO S142077-49 None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 32
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 11680
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 220
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 716
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 37
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 13505
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 236
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 870
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 37
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 13505
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 236
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 870
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 5
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1825
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 16
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 22
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 154
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.40.1 BED_SWING_SN None None 10
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.15.2 ED_PHYSN_AVAIL_ON_CALL Yes None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 3
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 209
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 1056
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 1
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 750
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 9
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 142
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 114
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 2160
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 124
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 2284
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 5
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 58
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 111
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 15505
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 302
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 23829
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106491338 PALM DRIVE HOSPITAL 501 PETALUMA AVENUE None SEBASTOPOL 95472 707-829-4344 Daymon R. Doss Yes 01/01/2014 04/28/2014 Palm Drive Health Care District 501 Petaluma Avenue None Sebastopol CA 95472 Nick Addleman Suspense 04/28/2014 01/01/1946 None None None NO None None 110000038 10 2 2 6097153403 210.2 None 03 - North Bay Sonoma 110000091 Parent Facility -122.821156 38.398247 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.1.1 MED_SURG_BED_LIC None None 42
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.1.2 MED_SURG_LICBED_DAY None None 15330
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.15.1 GAC_BED_LIC_SUBTOTL None None 44
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 16060
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.18.1 SN_BED_LIC None None 281
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.18.2 SN_LICBED_DAY None None 102565
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.20.1 IC_DEV_DISBL_BED_LIC None None 981
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.20.2 IC_DEV_DISBL_LICBED_DAY None None 358065
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.25.1 HOSP_BED_LIC_TOTL None None 1306
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.25.2 HOSP_LICBED_DAY_TOTL None None 476690
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.3.1 PED_BED_LIC None None 2
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.3.2 PED_LICBED_DAY None None 730
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.70.1 PSY_PROG_SHDOYL No None None
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.71.1 HOSPICE_PROG No None None
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 4.50.1 EMS_AMB_DIVERS No None None
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 5.15.1 AMB_SURG_PROG No None None
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 5.31.1 ABC_OP_PROG No None None
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2014 12/31/2014 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.980397 36.043886 General Acute Care State Developmentally Disabled 6.25.1 CAP_EXP_OVER_1MIL No None None
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 3.17.1 PSY_BED_LIC None None 30
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 3.17.2 PSY_LICBED_DAY None None 10950
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 3.17.3 PSY_DIS None None 153
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 3.17.5 PSY_CENS_DAY None None 4291
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 3.25.1 HOSP_BED_LIC_TOTL None None 30
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 3.25.2 HOSP_LICBED_DAY_TOTL None None 10950
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 3.25.3 HOSP_DIS_TOTL None None 153
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 3.25.5 HOSP_CENS_DAY_TOTL None None 4291
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 3.70.1 PSY_PROG_SHDOYL No None None
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 3.71.1 HOSPICE_PROG No None None
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 4.50.1 EMS_AMB_DIVERS No None None
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 5.15.1 AMB_SURG_PROG No None None
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 5.31.1 ABC_OP_PROG No None None
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 6.1.1 EQUIP_ACQ_OVER_500K No None None
2014 106560838 PACIFIC SHORES HOSPITAL 2130 N. VENTURA ROAD None OXNARD 93036 805-604-1216-218 Erin Bader Yes 01/01/2014 11/05/2014 Pacific Shores Hospital 26560 Agoura Rd. NO.108 None Calabasas CA 91302 Jay Kapitz Open 02/07/2000 07/17/1964 None None None NO None None 50000514 37 19 26 6111003002 241b None 10 - Santa Barbara/Ventura Ventura 50000231 Parent Facility -119.194467 34.22415 Acute Psychiatric Investor - Corporation Psychiatric 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 66
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 24090
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 2984
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 10787
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 107
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 39055
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5660
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 17659
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 14
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 5110
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 2018
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 3716
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 107
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 39055
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 5660
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 17659
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.1 PED_BED_LIC None None 12
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 4380
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.3 PED_DIS None None 395
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1039
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 25
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1788
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2783
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 8
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2920
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 132
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 427
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1578
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.1 NICU_BED_LIC None None 7
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 2555
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.3 NICU_DIS None None 131
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 539
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL IV None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1350
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1554
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 26336
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 79
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 14338
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 138
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 726
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2551
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 44304
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2770
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 47074
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 16
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 351
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1647
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 98093
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 3490
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 135291
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1902
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 38
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 9
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 644
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Carefusion Smart IV Pumps None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 703866
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 03/01/2015 None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2015 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2015 12/31/2015 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 147
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 53655
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 7689
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 23174
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 199
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 72635
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 8977
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 30681
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 20
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 7300
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 1066
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2166
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 199
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 72635
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 8977
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 30681
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 7
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 2555
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 17
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 948
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1642
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 8
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2920
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 35
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1231
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 4485
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 10
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 3650
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 7
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 2555
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 187
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 856
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 424
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 6304
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 3
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 15458
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 5
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 19522
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 46
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 3301
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5330
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 45009
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5384
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 50393
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 22
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 4106
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 381
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 281
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 365
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 369
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 352
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 159
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 172
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 75
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 89
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 53
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 90
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 54
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 2440
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 1614
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 165628
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 9
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 2107
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 141029
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1080
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 45
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 4
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 331
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 33
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 33
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 33
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 274
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 103
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 212
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 57
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 486
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 160
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 468
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 69
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 28
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 15
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 5
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 167
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 13
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 4
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 1
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 10
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 27
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 807
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 9
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Pharmacy Remodel None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1536000
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO S140641-19-00 None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP VSI Phase II, Seismic None None
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 6385000
2015 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5089 Brian Smolskis, COO Yes 01/01/2015 12/31/2015 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.3 PROJ_02_OSHPD_PROJ_NO IL0880-2-19A None None
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 119
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 43435
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4335
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 20818
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 138
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 50370
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 6754
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 28530
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 10
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 3650
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.3 PERINATL_DIS None None 2360
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6336
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 138
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 50370
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6754
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 28530
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 12
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2252
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5259
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 9
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3285
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 59
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 415
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1376
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 2252
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 189854
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.2.1 SURG_OP None None 1759
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 96222
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2252
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 132
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 4
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 780
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 2
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2015 12/31/2015 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 245
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 89425
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 13367
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 51831
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 329
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 120085
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 17918
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 75866
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 48
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 17520
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 298
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 16783
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 35
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 12775
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 3586
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 9265
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 377
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 137605
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 18216
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 92649
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 25
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 3032
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 6058
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4380
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 451
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1651
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 8184
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 12
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 4380
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 12
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4380
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 319
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 38
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 3727
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 13
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 4745
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 195
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2859
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL II None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 881
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 9989
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 3
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 38909
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 20
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 29722
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 742
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 11446
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 8030
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 90947
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 8795
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 99742
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 32
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1715
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 131
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 58
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 103
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 27
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 33
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 30
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 43
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 56
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 86
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 60
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 69
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 80
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 776
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4810
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 702645
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 10
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1873
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 169445
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3326
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 189
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 35
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 1136
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 8
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 81
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 8
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 81
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 8
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 75
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 289
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 384
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 188
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 106
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 477
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 490
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 964
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 65
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 43
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 35
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 15
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 422
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 96
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 1
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 3
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 166
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 77
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 51
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1938
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Electrical Switch Repairs None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 8000000
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP X-Ray Room 2 and 4 ROM None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 3241408
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.1 PROJ_03_DESCRIP_CAP_EXP OP Infusion Center (Facey) None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.2 PROJ_03_PROJTD_CAP_EXP None None 2181203
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.29.1 PROJ_04_DESCRIP_CAP_EXP ED Drain Repairs/Replacement None None
2015 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2015 12/31/2015 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.29.2 PROJ_04_PROJTD_CAP_EXP None None 1530990
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 27
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 9855
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 302
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 8425
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 36
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 13140
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 338
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 9850
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 36
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 13140
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 338
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 9850
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.3.1 PED_BED_LIC None None 5
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 1825
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 2
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 730
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 18
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 31
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 713
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.5.1 CCU_BED_LIC None None 2
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 730
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.5.3 CCU_DIS None None 18
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 30
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 712
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 71
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 2987
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 2
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 230
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 83950
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 15833
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 52867
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 327
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 119355
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 20133
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 74622
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 115
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 41975
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 2217
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 23320
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 22
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8030
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2908
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 8030
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 442
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 161330
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 22350
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 97942
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 13
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 4745
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 634
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1307
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 22
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2538
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5669
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 28
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 10220
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 513
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1393
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 7044
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.73.1 HOSPICE_CLASS_SN_BED Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 34
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 12410
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 245
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 5374
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 2
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 2
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 2
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 672
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 6
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4119
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 3
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 22241
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 37
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 23060
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1380
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 12728
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 12026
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 62820
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 13452
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 76272
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 29
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 79
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 136
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 17
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 9
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 4
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 6
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 1
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 7
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 1
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 181
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4089
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 590490
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 11
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4121
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 374581
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2864
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 175
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 35
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 959
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 233
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 129
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 233
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 129
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 105
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 682
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 429
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 367
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 135
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1049
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 564
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1348
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 113
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 59
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 87
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 45
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 613
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 76
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 9
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.76.1 PTBV None None 2
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 48
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 90
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 37
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 85
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 42
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 4
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 224
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2882
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 11
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Anesthesia machines None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 925096
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 09/25/2015 None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.1 EQUIP_02_DESCRIP Fetal Monitoring and Upgrade None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.2 EQUIP_02_VALUE None None 595339
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.3 EQUIP_02_ACQUI_DT None 05/29/2015 None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.4 EQUIP_02_ACQUI_MEANS Purchase None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.1 EQUIP_03_DESCRIP Ortho Power drills None None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.2 EQUIP_03_VALUE None None 533037
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.3 EQUIP_03_ACQUI_DT None 09/26/2015 None
2015 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Mary Kingston Yes 01/01/2015 12/31/2015 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.35708 33.83767 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.4 EQUIP_03_ACQUI_MEANS Purchase None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 154
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 56210
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 7196
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 31755
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 249
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 90885
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 13824
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 56575
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 29
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10585
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2313
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6570
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 249
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 90885
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 13824
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 56575
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 18
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 6570
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 1122
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 3285
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 31
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2217
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5243
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 17
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 6205
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 1806
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 6205
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 10
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 3650
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 988
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 4745
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 21
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 7665
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 399
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 4015
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 2
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 2
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 2
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 517
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4013
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 10
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 16587
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 39
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 10970
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1056
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 4234
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5172
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 36321
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 6278
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 42599
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 15
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 365
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 159
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 43
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 89
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 21
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 22
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 6
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 8
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 3
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 8
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 4
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 7
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 5
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 375
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3087
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 482805
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 13
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 3940
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 399195
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2474
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 152
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 21
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 942
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 64
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 1
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 64
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 1
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 56
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 438
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 969
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1407
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 968
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 117
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 58
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 1
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 90
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 386
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 58
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 524
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 276
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 63
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 380
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 5
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 226
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 3152
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 13
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2015 12/31/2015 Providence Health Services 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.53136 34.16985 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 165
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 60225
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1416
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 43505
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 177
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 64605
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 1551
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 47226
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 177
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 64605
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 1551
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 47226
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 7
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2555
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 79
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 234
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2171
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.1 CCU_BED_LIC None None 5
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1825
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.3 CCU_DIS None None 56
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 168
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 1550
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 485
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 51623
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.2.1 SURG_OP None None 110
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 12243
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2015 12/31/2015 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 190
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 69350
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 10492
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 42239
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 399
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 145635
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 21513
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 92072
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 38
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 13870
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 84
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 30660
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 8017
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 21187
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 437
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 159505
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 21513
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 92072
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 34
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 12410
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 1274
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 2860
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 41
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 6660
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 15067
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 26
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 9490
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 591
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1193
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 7572
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 12
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 4380
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 249
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 566
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 2889
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 53
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 19345
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 890
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 973
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 15325
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 13139
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 3
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 39172
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 3
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 27164
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 2455
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 7535
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 7970
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 87011
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 10431
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 97442
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 50
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 2392
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 82
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 12
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 15
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 11
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 17
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 11
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 21
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 39
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 38
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 18
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 27
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 82
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 373
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3461
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 383126
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 15
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 6513
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 486528
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 7586
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 433
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 188
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG Yes None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.33.1 ABC_LDRP Yes None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.36.1 BIRTHS_LIVE_ABC None None 4914
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 2672
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 146
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 47
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 146
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 47
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 136
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 457
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 271
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 532
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 96
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 989
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 367
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 989
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 82
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 31
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 62
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 27
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 343
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 30
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 1
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 13
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 69
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 57
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 45
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 5
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 38
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 5
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 32
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 5
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 11
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1840
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Cath Lab 1-3 Equip Replacement None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 3987826
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP ED5 Expansion None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 2939873
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.1 PROJ_03_DESCRIP_CAP_EXP Meaningful Use Project None None
2015 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2015 12/31/2015 None None None None None None Kenneth Mak Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.75234 34.07852 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.2 PROJ_03_PROJTD_CAP_EXP None None 1050170
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 324
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 118260
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 14728
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 52226
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 513
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 187245
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 18541
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 73954
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 35
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 12775
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 632
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 6658
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 32
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 11680
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2521
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6726
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 548
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 200020
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 19173
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 80612
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 34
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 12410
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 597
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1098
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2109
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 4386
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 72
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 26280
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 38
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 2129
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5403
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 34
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 12410
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 383
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 4811
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 17
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 6205
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 274
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 3690
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1977
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 9
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 7325
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 24231
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 8
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 28116
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 6074
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 4334
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 6053
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 65983
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 12146
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 78129
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 61
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1011
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 182
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 81
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 106
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 90
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 47
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 7
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 7
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 25
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 48
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 10
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 25
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 628
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4205
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 543107
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 14
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 9448
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 577431
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2420
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 205
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 25
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 773
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 140
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 5
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 140
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 5
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 107
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 714
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 166
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 538
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 111
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1252
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 277
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1252
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 161
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 67
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 335
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 40
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 36
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 57
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 4
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 36
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 53
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2037
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 EAST WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2015 12/31/2015 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 104
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 37960
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4338
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 13861
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 158
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 57670
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5406
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 22741
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.1 CHEM_BED_LIC None None 48
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.2 CHEM_LICBED_DAY None None 17520
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.3 CHEM_DIS None None 395
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.5 CHEM_CENS_DAY None None 3602
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.1 PSY_BED_LIC None None 25
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 9125
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.3 PSY_DIS None None 665
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 7324
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 125
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 45625
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 1421
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 42016
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 22
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8030
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 564
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 1336
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 356
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 129940
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 7887
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 75683
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 18
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 553
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1189
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4380
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 192
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 522
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2598
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 11
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 11
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 8
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 3
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 11
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 4
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 2
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 1
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.54.1 PSY_CENS_PATIENT_MNG_MCAL None None 1
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.56.1 PSY_CENS_PATIENT_OTHR_THIRDPTY None None 2
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 1
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 11
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.73.1 HOSPICE_CLASS_SN_BED Yes None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.74.1 HOSPICE_CLASS_IC_BED Yes None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 20
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 7300
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 312
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 4946
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 5081
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 4
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 591
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 16081
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 47
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 10634
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 432
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 4934
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 3506
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 37321
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 3990
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 41311
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 16
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1193
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 62
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 48
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 30
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 36
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 22
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 25
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 19
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 27
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 11
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 25
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 17
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 33
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 355
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 868
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 125327
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1234
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 108932
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 555
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 10
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 1
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 196
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2015 12/31/2015 PROVIDENCE HEALTH SERVICES 506 2ND AVE None SEATTLES WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.30557 33.73798 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 48
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 17520
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 2153
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 6446
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 95
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 34675
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 2640
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 8609
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.1 PSY_BED_LIC None None 38
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 13870
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.3 PSY_DIS None None 1843
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 12091
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.1 SN_BED_LIC None None 98
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 35770
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.3 SN_DIS None None 130
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.5 SN_CENS_DAY None None 30838
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 16
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 5840
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.3 PERINATL_DIS None None 287
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 792
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 231
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 84315
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 4613
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 51538
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.1 PED_BED_LIC None None 24
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 8760
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.3 PED_DIS None None 22
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.5 PED_CENS_DAY None None 50
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 270
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 270
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 681
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 7
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2555
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 178
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 220
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1321
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 31
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 31
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 30
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 1
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 31
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 3
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 27
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 1
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 31
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 2883
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 25
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4466
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 55
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 2115
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 230
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 1087
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 343
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 760
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 1732
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 11311
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2385
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 13696
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 7
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 690
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 93
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 67
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 44
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 37
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 53
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 61
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 61
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 75
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 95
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 170
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 128
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 118
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 1002
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 419
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 20322
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 3
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 241
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 10266
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 271
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 11
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 1
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 141
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 3
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa, DHA, MBA, Chief Executive Officer Yes 01/01/2015 12/31/2015 Pacifica of the Valley Corporation 9449 San Fernando Rd None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 196
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 71540
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 9896
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 39851
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 266
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 97090
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 12617
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 53469
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 29
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10585
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2187
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6739
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 266
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 97090
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 12617
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 53469
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 24
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2026
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 4884
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 23
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8395
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 388
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 773
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 4914
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 18
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 6570
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 146
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 29
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 1965
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 2
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 2
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 347
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2108
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 8804
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 33
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 8755
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 829
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 4387
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5313
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 24401
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 6177
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 30578
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 27
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 806
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 364
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 194
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 258
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 125
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 204
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 196
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 121
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 188
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 113
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 177
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 156
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 196
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 2292
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4888
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 959850
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 16
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4017
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 467565
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2146
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 75
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 18
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 765
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 65
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 1
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 65
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 1
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 36
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 4
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 281
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 174
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 308
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 106
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 589
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 280
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 305
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 108
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 43
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 34
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 20
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 235
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 39
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 4
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.76.1 PTBV None None 1
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 145
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 134
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 112
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 3
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 87
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 1
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 21
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 89
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1378
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 13
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.47867 34.0298 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 269
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 98185
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 13119
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 54250
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 392
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 143080
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 17230
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 73736
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 54
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 19710
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 24
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8760
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2702
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 7283
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 446
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 162790
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 17230
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 73736
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 32
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2548
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5424
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 38
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 13870
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 853
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 102
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5235
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 16
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 5840
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 20
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 7300
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 321
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 48
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 4093
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 2
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 25
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 9125
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 235
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2875
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 525
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4567
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 16332
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 492
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 19165
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 3158
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 13098
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 8620
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 53687
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 12272
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 65959
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 28
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 625
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1771
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 54
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 21
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 28
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 19
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 22
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 14
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 3
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 22
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 19
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 56
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 8
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 21
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 287
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4811
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 452234
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 15
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4194
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 394236
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2548
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 216
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 36
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 47
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 48
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 47
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 48
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 58
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 301
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 433
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 217
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 184
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 518
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 617
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 734
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 61
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 29
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 46
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 17
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 384
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 45
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 3
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 13
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 66
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 139
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 35
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 6
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 27
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 5
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 38
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1648
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 15
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP PSJMC - ICU Beds None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 985478
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 01/21/2015 None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP One North Neuro Clinic None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 2208011
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.1 EQUIP_02_DESCRIP PSJMC - Cardiovascular Hemodynamic None None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.2 EQUIP_02_VALUE None None 666238
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.3 EQUIP_02_ACQUI_DT None 12/02/2015 None
2015 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 SO. BUENA VISTA None BURBANK 91505-4866 818-843-5111 Julie Sprengel Yes 01/01/2015 12/31/2015 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.4 EQUIP_02_ACQUI_MEANS Purchase None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 133
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 48545
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 7748
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 32646
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 157
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 57305
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 8432
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 37327
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 157
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 57305
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 8432
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 37327
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 24
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8760
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 684
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 926
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 4681
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 4360
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 3
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 10946
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 11
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 27475
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 129
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 21693
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 5920
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 9547
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 930
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 74021
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 6993
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 81014
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 35
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 59
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 7
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 12
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 3
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 22
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 2302
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 309749
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 1058
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 106260
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 1
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.36.1 BIRTHS_LIVE_ABC None None 3
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 8
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 12
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 8
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 12
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 8
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 226
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 239
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 543
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 121
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 769
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 360
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 444
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 39
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 31
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 26
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 10
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 272
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 10
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 8
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.75.1 THROMBO_AGT None None 20
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.77.1 DX_EP_STUDY None None 6
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 8
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 211
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 37
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.81.1 CAROTID_STENTING None None 4
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 3
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 4
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.85.1 CATH_TOTL None None 1133
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5000-15536 Deborah Cockerham-Slaughter Yes 01/01/2015 12/31/2015 Universal Health Services, Inc. 367 South Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2015 12/31/2015 None None None None None None Alex Chism Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.1.1 MED_SURG_BED_LIC None None 7
2015 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2015 12/31/2015 None None None None None None Alex Chism Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.1.2 MED_SURG_LICBED_DAY None None 2555
2015 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2015 12/31/2015 None None None None None None Alex Chism Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.15.1 GAC_BED_LIC_SUBTOTL None None 7
2015 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2015 12/31/2015 None None None None None None Alex Chism Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 2555
2015 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2015 12/31/2015 None None None None None None Alex Chism Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.17.1 PSY_BED_LIC None None 94
2015 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2015 12/31/2015 None None None None None None Alex Chism Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.17.2 PSY_LICBED_DAY None None 34310
2015 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2015 12/31/2015 None None None None None None Alex Chism Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.25.1 HOSP_BED_LIC_TOTL None None 101
2015 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2015 12/31/2015 None None None None None None Alex Chism Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.25.2 HOSP_LICBED_DAY_TOTL None None 36865
2015 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2015 12/31/2015 None None None None None None Alex Chism Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 4.50.1 EMS_AMB_DIVERS No None None
2015 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2015 12/31/2015 None None None None None None Alex Chism Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 106
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 38690
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3253
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 9854
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 114
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 41610
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 3393
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 11030
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 114
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 41610
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 3393
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 11030
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 4
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1460
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 70
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 143
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 588
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.1 CCU_BED_LIC None None 4
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1460
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.3 CCU_DIS None None 70
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 142
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 588
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1191
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1544
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 8869
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 2
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 12064
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 319
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 3712
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2335
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 27380
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2656
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 30036
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 20
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 125
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 1065
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 127740
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 2754
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 243495
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP ER Acute Care: MS Patient Rooms None None
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1095000
2015 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Audrey Gregory Yes 01/01/2015 12/31/2015 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO S152298-30-00 None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 23
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 8395
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 598
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 1520
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 25
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 9125
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 668
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 1655
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 2
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 730
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 70
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 135
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 25
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 9125
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 668
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 1655
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 69
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 121
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 11
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 254
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 2357
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 16
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 1134
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 140
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 862
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 480
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 4618
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 636
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 5254
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 4
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 39
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 79
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 7740
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 1
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 228
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 17475
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 69
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 2
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 16
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 1
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 4
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.85.1 CATH_TOTL None None 5
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 1
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2015 12/31/2015 None None None None None None Krista McComb Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.16.1 CHEM_BED_LIC None None 10
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.16.2 CHEM_LICBED_DAY None None 3650
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.16.3 CHEM_DIS None None 515
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.16.5 CHEM_CENS_DAY None None 2805
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.17.1 PSY_BED_LIC None None 58
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.17.2 PSY_LICBED_DAY None None 21170
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.17.3 PSY_DIS None None 789
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.17.5 PSY_CENS_DAY None None 5073
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.25.1 HOSP_BED_LIC_TOTL None None 68
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.25.2 HOSP_LICBED_DAY_TOTL None None 24820
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.25.3 HOSP_DIS_TOTL None None 1304
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.25.5 HOSP_CENS_DAY_TOTL None None 7878
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.31.3 CHEM_PSY_DIS None None 1304
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.31.5 CHEM_PSY_CENS_DAY None None 7878
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.43.1 PSY_LCK_CENS_PATIENT None None 4
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.44.1 PSY_OPN_CENS_PATIENT None None 8
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.45.1 PSY_CENS_PATIENT_TOTL None None 12
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.47.1 PSY_CENS_PATIENT_18-64 None None 8
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.49.1 PSY_CENS_PATIENT_=65 None None 4
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.50.1 PSY_CENS_PATIENT_TOTL None None 12
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.51.1 PSY_CENS_PATIENT_MCAR None None 6
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 4
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 2
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.65.1 PSY_CENS_PATIENT_TOTL None None 12
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.70.1 PSY_PROG_SHDOYL No None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.71.1 HOSPICE_PROG No None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 4.50.1 EMS_AMB_DIVERS No None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 5.15.1 AMB_SURG_PROG No None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 5.31.1 ABC_OP_PROG No None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 6.26.1 PROJ_01_DESCRIP_CAP_EXP Unit Remodel None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 2198436
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 6.26.3 PROJ_01_OSHPD_PROJ_NO 150923 None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 6.27.3 PROJ_02_OSHPD_PROJ_NO 142578 None None
2015 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nichol Sheffield Yes 01/01/2015 12/31/2015 Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 6.28.3 PROJ_03_OSHPD_PROJ_NO 141277 None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 41
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 14965
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 854
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 2572
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 51
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 18615
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 1023
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 3007
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 6
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 2190
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 154
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 332
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 51
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 18615
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 1023
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 3007
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 7
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 138
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 272
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 4
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1460
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 15
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 103
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 262
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 843
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 5399
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 32
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 2831
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 241
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 567
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 211
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 9902
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 484
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 10386
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 6
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 245
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 21263
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 824
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 42234
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 138
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 11
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 44
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 SANDRA ANAYA Yes 01/01/2015 12/31/2015 PALO VERDE HEALTH CARE DISTRICT 250 NORTH FIRST STREET None BLYTHE CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 125
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 45625
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 6924
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 30110
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 193
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 70445
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 10018
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 41321
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 28
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10220
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2356
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 4677
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 193
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 70445
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 10018
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 41321
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 15
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 5475
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 310
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 507
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 20
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2218
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 3621
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 13
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4745
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 203
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 424
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 3499
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 12
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4380
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 225
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 148
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 2528
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 19375
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 5411
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 7139
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 7829
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1387
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5241
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 41141
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5241
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 46382
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 14
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 2439
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3169
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 381180
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 7
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1488
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 136890
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2410
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 146
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 48
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 924
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 7
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP CT Scan Remodel None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 559836
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 01/01/2015 None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2015 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2015 12/31/2015 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.1 PSY_BED_LIC None None 427
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.2 PSY_LICBED_DAY None None 151895
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.3 PSY_DIS None None 1068
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.5 PSY_CENS_DAY None None 161489
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.1 IC_BED_LIC None None 860
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.2 IC_LICBED_DAY None None 317860
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.3 IC_DIS None None 1296
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.5 IC_CENS_DAY None None 388128
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.1 HOSP_BED_LIC_TOTL None None 1287
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.2 HOSP_LICBED_DAY_TOTL None None 469755
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.3 HOSP_DIS_TOTL None None 2364
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.5 HOSP_CENS_DAY_TOTL None None 549617
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.43.1 PSY_LCK_CENS_PATIENT None None 443
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.45.1 PSY_CENS_PATIENT_TOTL None None 443
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.47.1 PSY_CENS_PATIENT_18-64 None None 430
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.49.1 PSY_CENS_PATIENT_=65 None None 13
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.50.1 PSY_CENS_PATIENT_TOTL None None 443
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 443
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.65.1 PSY_CENS_PATIENT_TOTL None None 443
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.70.1 PSY_PROG_SHDOYL No None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.71.1 HOSPICE_PROG No None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.50.1 EMS_AMB_DIVERS No None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.15.1 AMB_SURG_PROG No None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.31.1 ABC_OP_PROG No None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7000-7321 Harry Oreol Yes 01/01/2015 12/31/2015 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Tatiana Rojas Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 157
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 61674
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 54
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 63
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 267
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 97969
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 4094
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 15387
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.17.1 PSY_BED_LIC None None 25
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 9125
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.17.3 PSY_DIS None None 1453
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 7960
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 57
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 16950
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 3400
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 7689
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 292
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 107094
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 5547
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 23347
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 30
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 3164
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5208
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 21
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 7665
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 12
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 12
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 10
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 2
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.5.1 CCU_BED_LIC None None 14
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 5110
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 12
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 1
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 2
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 1
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.54.1 PSY_CENS_PATIENT_MNG_MCAL None None 8
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 12
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 18
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 6570
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.9.3 REHAB_DIS None None 640
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 7635
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL II None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 47
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 2
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1130
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 5216
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 4183
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 3
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 944
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 18
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 11520
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 23
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 11543
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 20
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 28757
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1725
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1140
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 78584
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 11
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 1990
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 155140
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3259
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 119
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 11
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 1000
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 11
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 760-739-3000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 128
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 46720
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3986
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 15548
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 188
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 68620
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5467
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 22776
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.16.1 CHEM_BED_LIC None None 18
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.16.2 CHEM_LICBED_DAY None None 6570
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.1 PSY_BED_LIC None None 85
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 31025
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.3 PSY_DIS None None 5123
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 34387
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 23
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8395
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.3 PERINATL_DIS None None 1128
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2401
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 291
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 106215
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 10590
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 57163
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 35
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1128
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1940
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.1 ICU_BED_LIC None None 10
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3650
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.3 ICU_DIS None None 175
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 505
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2404
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 31
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.44.1 PSY_OPN_CENS_PATIENT None None 49
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 80
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 75
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 5
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.1 CCU_BED_LIC None None 5
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1825
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.3 CCU_DIS None None 8
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 29
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 80
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 80
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 21
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 8
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 51
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 80
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 22
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 8030
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.3 REHAB_DIS None None 170
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2343
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1633
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 942
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 6689
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 1
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 10108
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 36
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 7776
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 7343
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 27148
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 7381
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 34529
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.35.1 EMS_STATION None None 20
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1921
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 40
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 9
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 1
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 3
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 8
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 2
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 9
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 12
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 29
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 11
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 19
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 143
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.1.1 SURG_IP None None 667
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 60223
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.2.1 SURG_OP None None 731
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 26671
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1128
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 33
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 3
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 417
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 99
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 10
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 61
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 160
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 10
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 160
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 18
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 28
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 25
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 5
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 10
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 15
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 30
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 28
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 1
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 81
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.85.1 CATH_TOTL None None 401
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2015 12/31/2015 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 52
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 18980
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 396
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 10778
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 57
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 20805
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 470
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 12147
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.17.1 PSY_BED_LIC None None 43
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 15695
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 100
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 36500
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 470
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 12147
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 5
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1825
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 74
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1369
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 258
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 4929
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 602
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 18637
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 William Mitchell Yes 01/01/2015 12/31/2015 Promise Healthcare Inc. 999 Yamato Road Third Floor Boca Raton FL 33431 Kevin Ohler Open 03/01/1965 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 68
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 24820
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4183
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 14120
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 95
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 34675
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5622
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 19618
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.1 PSY_BED_LIC None None 12
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 4380
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.3 PSY_DIS None None 204
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 4090
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.1 SN_BED_LIC None None 129
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 47085
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.3 SN_DIS None None 553
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.5 SN_CENS_DAY None None 42536
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 11
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 4015
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 1374
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2895
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 236
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 86140
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6379
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 66244
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 19
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1244
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2300
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4380
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 9
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 172
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2320
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 12
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 12
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 2
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 10
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 12
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 8
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 3
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 1
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 12
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.1 NICU_BED_LIC None None 4
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 1460
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.3 NICU_DIS None None 56
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 283
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 90
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 99
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1017
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 5568
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 19
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 7576
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 226
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 3045
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2234
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 17296
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2579
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 19875
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 17
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 99
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 6
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 1
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 1
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 8
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1403
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 148483
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 4
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 2092
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 160321
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1244
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 44
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 3
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 383
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 240
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 87600
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 18498
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 65925
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 288
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 105120
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 18529
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 76401
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 288
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 105120
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 18529
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 76401
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 24
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8760
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 16
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 342
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5238
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.1 CCU_BED_LIC None None 24
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 8760
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.3 CCU_DIS None None 15
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 343
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 5238
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 356
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 11
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1883
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 12433
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 28
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 18711
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 680
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 8806
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 8279
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 42189
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 8999
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 51188
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 52
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 387
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 6183
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 856960
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 11
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 3117
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 267220
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 94
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 4
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 94
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 4
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 56
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.55.1 CATH_CARD_RM None None 4
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 338
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 412
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 519
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 117
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 857
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 529
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 857
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 199
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 54
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 48
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 21
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 507
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 10
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 10
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.77.1 DX_EP_STUDY None None 103
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 95
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 181
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 105
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.81.1 CAROTID_STENTING None None 27
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 25
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 1
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 95
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.85.1 CATH_TOTL None None 2338
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 11
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP PMC Shelled Buildout None None
2015 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Beirne Yes 01/01/2015 12/31/2015 Palomar Health 456 E Grand Ave None Escondido CA 92025 Maritess Leonardo Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 2208000
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 10
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 3650
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.3 MED_SURG_DIS None None 230
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 486
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 10
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 3650
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 230
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 486
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 10
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 3650
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 230
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 486
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.15.2 ED_PHYSN_AVAIL_ON_CALL Yes None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.1.1 SURG_IP None None 230
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 38789
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.2.1 SURG_OP None None 655
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 58740
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2015 12/31/2015 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 61
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 22265
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1938
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 7006
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 80
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 29200
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 2518
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 9260
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 10
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 3650
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 434
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 900
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 80
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 29200
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 2518
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 9260
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 10
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 432
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 765
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 9
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3285
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 146
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 395
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1354
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 670
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 3
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1778
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 10198
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 54
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 3529
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 891
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 977
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 731
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 17152
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 1680
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 18832
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 15
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 371
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 648
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 77398
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 4
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1422
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 103742
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 425
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 6
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 120
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2015 12/31/2015 St. Joseph Health 3345 Michelson Drive Ste 100 Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.1.1 MED_SURG_BED_LIC None None 42
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.1.2 MED_SURG_LICBED_DAY None None 15330
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.15.1 GAC_BED_LIC_SUBTOTL None None 44
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 16060
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.18.1 SN_BED_LIC None None 201
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.18.2 SN_LICBED_DAY None None 78085
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.20.1 IC_DEV_DISBL_BED_LIC None None 981
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.20.2 IC_DEV_DISBL_LICBED_DAY None None 358065
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.25.1 HOSP_BED_LIC_TOTL None None 1226
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.25.2 HOSP_LICBED_DAY_TOTL None None 452210
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.3.1 PED_BED_LIC None None 2
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.3.2 PED_LICBED_DAY None None 730
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.70.1 PSY_PROG_SHDOYL No None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.71.1 HOSPICE_PROG No None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 4.50.1 EMS_AMB_DIVERS No None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 5.15.1 AMB_SURG_PROG No None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 5.31.1 ABC_OP_PROG No None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 6.1.1 EQUIP_ACQ_OVER_500K No None None
2015 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2222 Theresa Billeci Yes 01/01/2015 12/31/2015 None None None None None None Sheryl Roberts Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 66
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 24156
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3314
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 12896
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 107
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 39162
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 6025
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 20438
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 14
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 5124
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 1921
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 3757
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 107
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 39162
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6025
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 20438
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.1 PED_BED_LIC None None 12
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 4392
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.3 PED_DIS None None 406
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1187
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 25
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1591
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2593
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 8
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2928
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 148
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 379
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1657
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.1 NICU_BED_LIC None None 7
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 2562
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.3 NICU_DIS None None 236
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 941
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL IV None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1149
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1098
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 21003
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 82
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 11620
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 128
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 625
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2188
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 35495
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2400
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 37895
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 16
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 289
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1673
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 101327
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 3542
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 148752
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1800
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 59
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 7
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 503
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Lawrence Lewis Yes 01/01/2016 12/31/2016 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 147
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 53802
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 7464
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 23181
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 199
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 72834
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 8686
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 30043
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 20
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 7320
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 1014
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2217
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 199
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 72834
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 8686
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 30043
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 7
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 2562
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 17
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 882
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1583
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 8
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2928
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 30
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1167
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 3903
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 10
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 3660
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 7
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 2562
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 178
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 742
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 692
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 6944
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 16298
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 4
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 22080
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 37
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 3099
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5569
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 49113
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5611
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 54724
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 22
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1907
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 150
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 149
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 20
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 7
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 7
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 25
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 36
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 18
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 50
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 6
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 21
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 42
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 531
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 1470
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 156818
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 8
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1900
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 125312
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1020
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 44
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 5
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 351
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 49
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 1
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 49
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 1
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 42
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 280
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 110
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 177
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 49
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 457
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 159
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 537
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 26
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 21
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 20
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 15
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 140
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 12
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 2
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 3
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 10
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 7
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 7
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 11
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 811
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 8
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Luminos Agile Max Fluoroscope None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 605000
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 04/30/2016 None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP VSI Phase II Seismic None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 5100000
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO IL082802-2 None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP ED Expansion None None
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 3500000
2016 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 Ramona Pratt Yes 01/01/2016 12/31/2016 PIH Health 12401 Washington Blvd. None Whittier CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.3 PROJ_02_OSHPD_PROJ_NO H141515-19-00 None None
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 119
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 43554
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4584
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 18556
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 138
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 50508
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 6499
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 24742
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 10
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 3660
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.3 PERINATL_DIS None None 1847
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 4903
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 138
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 50508
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6499
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 24742
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 12
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1725
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 4106
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 9
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3294
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 68
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 389
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1283
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 2298
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 199088
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.2.1 SURG_OP None None 2029
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 86825
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1747
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 112
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 2
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 647
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 2
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Emergency generators None None
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1244903
2016 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-624-8411 John Edwards Yes 01/01/2016 12/31/2016 None None None None None None Gloria Ruiz Open 01/01/1946 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO S142331-19-00 None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 245
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 89670
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 15801
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 57918
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 329
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 120414
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 20988
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 82104
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 48
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 17568
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 629
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 16758
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 35
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 12810
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 3852
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 10019
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 377
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 137982
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 21617
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 98862
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 25
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 3267
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 6559
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4392
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 793
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1367
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 7497
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 12
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 4392
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 12
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4392
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 346
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 23
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 3976
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 13
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 4758
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 196
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2694
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL II None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 817
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 2
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 8786
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 39259
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 20
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 31708
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 650
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 13544
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 9880
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 94114
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 10554
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 104668
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 32
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1452
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 88
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 110
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 51
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 37
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 40
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 53
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 19
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 54
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 86
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 48
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 37
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 75
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 698
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 5206
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 704850
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 10
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1930
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 186390
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3574
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 201
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 36
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 1213
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 8
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 73
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 15
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 73
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 15
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 49
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 272
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 347
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 193
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 90
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 465
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 437
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 465
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 71
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 42
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 21
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 16
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 387
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 28
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 7
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 141
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 104
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 30
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 4
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 39
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1355
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP PHCMC JCFLS Patient Corridor Deficiencies None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 5600000
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO NA None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP PHCMC Cath Labs - Room 1 None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 4527285
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.3 PROJ_02_OSHPD_PROJ_NO NA None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.1 PROJ_03_DESCRIP_CAP_EXP PHCMC JCFLS Operating Room Code Deficiencies Upgrade None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.2 PROJ_03_PROJTD_CAP_EXP None None 2250000
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.3 PROJ_03_OSHPD_PROJ_NO NA None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.29.1 PROJ_04_DESCRIP_CAP_EXP JCFLS Air Compressor Smoke Compartment None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.29.2 PROJ_04_PROJTD_CAP_EXP None None 2740000
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.29.3 PROJ_04_OSHPD_PROJ_NO NA None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.30.1 PROJ_05_DESCRIP_CAP_EXP JCFLS ICU Pavilions NPC3 NonConforming Conditions None None
2016 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 Bernie Klein MD Yes 01/01/2016 12/31/2016 Providence Health System 1810 Linda Avenue SW None Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.30.3 PROJ_05_OSHPD_PROJ_NO NA None None
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 27
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 9882
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 353
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 6044
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 36
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 13176
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 391
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 7365
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 36
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 13176
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 391
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 7365
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.3.1 PED_BED_LIC None None 5
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 1830
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 2
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 732
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 19
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 41
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 661
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.5.1 CCU_BED_LIC None None 2
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 732
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.5.3 CCU_DIS None None 19
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 41
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 660
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 8
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 372
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 2
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 01/01/1946 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 230
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 84180
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 14522
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 48091
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 327
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 119682
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 18665
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 68854
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 115
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 42090
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 2149
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 23783
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 22
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8052
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2724
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 7467
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 442
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 161772
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 20814
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 92637
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 13
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 4758
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 664
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1438
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 22
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2401
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5269
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 28
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 10248
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 535
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1278
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 6589
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.73.1 HOSPICE_CLASS_SN_BED Yes None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 34
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 12444
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 220
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 5269
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 2
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 2
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 2
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.86.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER_CERTI None None 1
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 947
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 9
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4013
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 9
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 21307
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 39
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 23440
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1141
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 11908
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 13263
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 61615
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 14461
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 76076
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 29
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 2590
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 25
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 54
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 6
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 5
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 2
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 3
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 2
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 5
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 4
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 106
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3909
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 568261
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 11
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4105
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 381091
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2651
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 129
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 28
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 845
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 107
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 59
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 107
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 59
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 98
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 644
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 450
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 369
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 252
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1013
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 702
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1512
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 78
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 64
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 65
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 38
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 520
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 146
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 25
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.76.1 PTBV None None 2
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 51
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 76
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 37
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 85
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 46
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 5
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 180
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2930
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 11
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Bed/Gurney replacement None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1341349
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 05/03/2016 None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.1 EQUIP_02_DESCRIP Tomosynthesis Unit None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.2 EQUIP_02_VALUE None None 820299
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.3 EQUIP_02_ACQUI_DT None 10/15/2016 None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.4 EQUIP_02_ACQUI_MEANS Purchase None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.1 EQUIP_03_DESCRIP Ultrasound System replacement None None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.2 EQUIP_03_VALUE None None 607957
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.3 EQUIP_03_ACQUI_DT None 12/15/2016 None
2016 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-6101 Garry Olney Yes 01/01/2016 12/31/2016 Providence Health and Services 506 2nd avenue None Seattle WA 98104 Mila Nishimura Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.4 EQUIP_03_ACQUI_MEANS Purchase None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 154
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 56364
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 7008
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 28548
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 249
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 91134
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 13126
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 52118
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 29
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10614
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2634
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6698
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 249
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 91134
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 13126
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 52118
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 18
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 6588
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 1226
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 3074
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 31
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2309
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5507
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 17
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 6222
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 639
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5600
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 10
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 3660
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 1291
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 4026
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 21
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 7686
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 328
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 4172
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 625
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4442
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 17866
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 28
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 12072
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 892
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 5253
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 4660
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 40258
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5581
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 45839
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 15
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 269
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 11
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 6
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 3
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 3
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 1
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 5
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 2
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 3
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 2
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 2
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 6
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 44
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 2921
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 416794
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 13
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4383
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 425830
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2526
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 161
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 22
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 908
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 54
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 2
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 54
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 2
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 43
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 363
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 712
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1075
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1132
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 126
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 94
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 47
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 75
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 520
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 53
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 5
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 397
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 229
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 55
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 66
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 4
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 7
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 11
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 353
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 3174
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 13
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2016 12/31/2016 Providence Health System 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Sharon Gross Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 165
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 60390
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1241
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 39987
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 177
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 64782
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 1386
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 43582
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 177
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 64782
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 1386
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 43582
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 7
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2562
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 85
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 232
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2097
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.1 CCU_BED_LIC None None 5
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1830
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.3 CCU_DIS None None 60
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 165
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 1498
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 232
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 18525
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.2.1 SURG_OP None None 396
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 27831
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 SOUTH COLORADO AVENUE None PARAMOUNT 90723 562-531-3110 Michael Kerr Yes 01/01/2016 12/31/2016 None None None None None None Charles Shields Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Consolidated Facility -118.16153 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 190
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 69540
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 11327
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 42991
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 399
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 146034
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 21989
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 90335
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 38
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 13908
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 84
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 30744
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 7627
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 20238
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 437
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 159942
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 21989
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 90335
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 34
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 12444
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 1287
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 2972
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 41
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 6312
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 14193
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 26
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 9516
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 731
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1367
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 8089
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 12
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 4392
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 248
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 718
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 3016
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 53
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 19398
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 769
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 1002
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 13029
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 13222
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 5
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 39538
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 14
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 25762
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 2941
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 6280
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 9044
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 84802
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 12004
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 96806
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 50
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 2318
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 88
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 115
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 79
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 77
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 18
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 17
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 7
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 14
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 415
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3247
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 365275
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 15
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 6672
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 517998
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 7174
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 320
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 97
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG Yes None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.33.1 ABC_LDRP Yes None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.36.1 BIRTHS_LIVE_ABC None None 4760
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 2414
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 174
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 2
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 174
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 2
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 142
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 446
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 265
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 468
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 110
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 914
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 375
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 914
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 116
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 42
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 45
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 30
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 340
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 35
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 1
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 4
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 93
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 79
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 47
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 5
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 39
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 1
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 33
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 12
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1831
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP SCANNER CT AQUILION None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 539925
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 05/01/2016 None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP UTILITY INFRASTRUCTURE UPGRADE None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1421000
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.1 EQUIP_02_DESCRIP VASCUKAR BI PLANE None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.2 EQUIP_02_VALUE None None 544042
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.3 EQUIP_02_ACQUI_DT None 09/01/2016 None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.4 EQUIP_02_ACQUI_MEANS Purchase None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.1 EQUIP_03_DESCRIP WHOLE BODY CT SCANNER None None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.2 EQUIP_03_VALUE None None 760711
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.3 EQUIP_03_ACQUI_DT None 11/01/2016 None
2016 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2016 12/31/2016 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None None NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.4.4 EQUIP_03_ACQUI_MEANS Purchase None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 323
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 118218
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 14159
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 51191
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 512
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 187392
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 17208
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 70667
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 35
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 12810
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 626
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 6224
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 32
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 11712
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2091
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 5729
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 547
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 200202
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 17834
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 76891
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 34
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 12444
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 265
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 532
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1733
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 3594
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 72
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 26352
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 103
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 2063
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5825
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 34
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 12444
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 388
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 4982
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 17
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 6222
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 202
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2408
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 2079
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 7
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 7427
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 23357
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 6
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 29841
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 5722
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 4689
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 3354
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 67393
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 9090
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 76483
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 56
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 766
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 20
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 114
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 62
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 12
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 2
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 5
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 7
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 28
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 6
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 5
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 18
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 54
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 333
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4597
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 584019
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 14
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 9214
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 580917
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2015
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 155
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 27
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 604
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 135
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 135
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 105
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 722
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 158
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 532
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 117
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1254
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 275
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1229
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 168
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 58
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 438
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 39
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 12
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 42
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 31
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 4
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 34
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 82
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2133
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP MRI- Magnetom Aera Tesla None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1917384
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 08/23/2016 None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2016 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-14073 JIM WEST Yes 01/01/2016 12/31/2016 None None None None None None Jeannette Terrones Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 104
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 38064
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3805
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 12405
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 158
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 57828
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 4935
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 21045
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.1 CHEM_BED_LIC None None 48
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.2 CHEM_LICBED_DAY None None 17568
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.3 CHEM_DIS None None 384
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.5 CHEM_CENS_DAY None None 3205
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.1 PSY_BED_LIC None None 25
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 9150
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.3 PSY_DIS None None 589
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 7839
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 125
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 45750
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 439
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 41044
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 22
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8052
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 601
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 1414
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 356
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 130296
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6347
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 73133
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 18
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 587
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1242
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4392
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 200
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 612
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2176
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 19
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 19
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 11
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 8
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 19
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 8
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 4
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 2
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.54.1 PSY_CENS_PATIENT_MNG_MCAL None None 4
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 1
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 19
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 20
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 7320
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 329
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 5050
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 482
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4390
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 4
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 15912
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 18
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 11353
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 321
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 5801
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 3235
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 37938
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 3579
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 41517
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 16
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 342
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 30
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 30
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 7
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 12
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 5
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 2
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 5
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 10
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 8
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 4
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 9
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 14
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 136
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 818
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 122085
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1361
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 127665
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 575
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 8
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 2
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 187
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Gary Olney Yes 01/01/2016 12/31/2016 Providence Health Services 506 2nd Ave None Seattle WA 98104 My Le Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 48
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 17568
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1875
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 9063
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 95
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 34770
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 2309
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 10736
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.1 PSY_BED_LIC None None 38
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 13908
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.3 PSY_DIS None None 1794
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 13110
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.1 SN_BED_LIC None None 98
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 35868
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.3 SN_DIS None None 109
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.5 SN_CENS_DAY None None 34160
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 16
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 5856
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.3 PERINATL_DIS None None 282
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 730
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 231
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 84546
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 4212
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 58006
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.1 PED_BED_LIC None None 24
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 8784
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.3 PED_DIS None None 15
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.5 PED_CENS_DAY None None 26
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 261
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 261
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 672
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 7
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2562
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 137
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 198
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 917
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 35
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 35
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 35
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 35
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 5
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 27
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 3
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 35
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 2988
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 16
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4332
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 58
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 2075
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 220
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 1084
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 198
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 570
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 1402
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 11049
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 1894
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 12943
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 7
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 900
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 186
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 141
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 162
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 122
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 131
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 91
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 134
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 214
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 201
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 147
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 174
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 163
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 1866
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 346
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 16184
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 3
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 393
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 13354
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 262
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 28
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 1
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 152
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 3
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2016 12/31/2016 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 196
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 71736
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 10044
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 41287
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 266
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 97356
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 12359
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 54105
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 29
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10614
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 1786
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 5396
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 266
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 97356
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 12359
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 54105
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 24
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1643
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 4011
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 23
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8418
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 398
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 983
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5769
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 18
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 6588
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 131
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 11
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 1653
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 2
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 2
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 482
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2100
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 8542
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 3
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 8518
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 498
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 4680
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5493
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 24322
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5994
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 30316
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 27
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 826
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 182
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 267
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 213
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 93
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 98
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 36
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 24
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 107
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 69
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 121
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 104
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 180
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 1494
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 5166
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 1005645
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 16
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 3752
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 446220
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1770
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 71
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 7
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 583
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 80
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 2
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 80
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 2
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 38
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 4
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 347
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 247
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 369
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 541
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 716
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 788
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 478
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 119
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 48
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 37
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 15
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 273
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 26
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 7
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.76.1 PTBV None None 2
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 94
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 140
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 78
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 3
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 28
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 2
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 6
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 210
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1563
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 13
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Linear Accelarator None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 33629823
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 08/08/2016 None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2016 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel C Loh Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 269
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 98454
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 11933
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 49077
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 392
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 143472
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 16051
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 73279
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 54
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 19764
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 24
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8784
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2693
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 7021
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 446
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 163236
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 16051
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 73279
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 32
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2181
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 4744
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 38
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 13908
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 825
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1836
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 10011
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 16
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 5856
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 20
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 7320
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 390
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 4370
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 2
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 2
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 25
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 9150
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 210
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2800
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1004
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 2
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4804
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 20776
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 37
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 18393
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 773
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 10875
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 6974
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 55852
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 7788
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 63640
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 24
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 216
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 35
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 105
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 24
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 24
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 8
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 21
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 45
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 44
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 34
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 35
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 6
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 1
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 382
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4829
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 619080
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 15
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4297
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 453780
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2480
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 168
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 27
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 927
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 41
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 46
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 41
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 46
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 55
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 249
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 275
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 162
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 25
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 411
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 300
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 782
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 85
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 44
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 50
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 19
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 299
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 24
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 4
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 3
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 23
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 75
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 16
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 7
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 25
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1456
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 15
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Bi-Plane Angio None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 3202362
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 05/04/2016 None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Remodel Infusion Center None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1310614
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.1 EQUIP_02_DESCRIP Starbucks None None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.2 EQUIP_02_VALUE None None 1313539
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.3 EQUIP_02_ACQUI_DT None 06/01/2016 None
2016 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-843-5111-74748 Kerry Carmody Yes 01/01/2016 12/31/2016 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Susan Kohl Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.4 EQUIP_02_ACQUI_MEANS Purchase None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 133
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 48678
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 8604
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 34228
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 157
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 57462
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 9099
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 39135
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 157
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 57462
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 9099
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 39135
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 24
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8784
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 495
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 527
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 4907
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 4485
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 7052
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 22176
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 18602
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 16036
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 68351
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 7231
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 75582
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 35
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1113
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 2
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 1
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 3
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 2730
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 372024
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 7
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 1761
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 178752
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 5
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 4
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 192
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 4
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 192
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 4
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 430
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 586
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 120
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 690
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 550
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 1276
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 74
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 51
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 34
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 30
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 15
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 223
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 7
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 14
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.77.1 DX_EP_STUDY None None 6
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 4
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 131
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 47
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.81.1 CAROTID_STENTING None None 1
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 7
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 5
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 587
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.85.1 CATH_TOTL None None 1236
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 7
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 RICHARD ALLEN Yes 01/01/2016 12/31/2016 UNIVERSAL HEALTH SERVICES, INC 367 S. GULPH ROAD None KING OF PRUSSIA PA 93551 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2016 12/31/2016 None None None None None None Denard Uy Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.1.1 MED_SURG_BED_LIC None None 7
2016 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2016 12/31/2016 None None None None None None Denard Uy Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.1.2 MED_SURG_LICBED_DAY None None 2562
2016 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2016 12/31/2016 None None None None None None Denard Uy Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.15.1 GAC_BED_LIC_SUBTOTL None None 7
2016 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2016 12/31/2016 None None None None None None Denard Uy Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 2562
2016 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2016 12/31/2016 None None None None None None Denard Uy Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.17.1 PSY_BED_LIC None None 94
2016 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2016 12/31/2016 None None None None None None Denard Uy Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.17.2 PSY_LICBED_DAY None None 34404
2016 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2016 12/31/2016 None None None None None None Denard Uy Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.25.1 HOSP_BED_LIC_TOTL None None 101
2016 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2016 12/31/2016 None None None None None None Denard Uy Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 3.25.2 HOSP_LICBED_DAY_TOTL None None 36966
2016 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2016 12/31/2016 None None None None None None Denard Uy Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 4.50.1 EMS_AMB_DIVERS No None None
2016 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None No 01/01/2016 12/31/2016 None None None None None None Denard Uy Suspense 01/31/2013 08/05/1965 None None None NO None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care 0 None 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 106
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 38796
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3081
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 9704
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 114
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 41724
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 3252
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 11077
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 114
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 41724
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 3252
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 11077
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 4
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1464
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 86
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 145
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 687
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.1 CCU_BED_LIC None None 4
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1464
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.3 CCU_DIS None None 85
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 144
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 686
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 204
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2159
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 10219
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 7
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 10509
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 326
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 4671
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2178
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 27762
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2512
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 30274
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 20
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 563
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 21
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 5
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 26
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 1093
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 141795
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 2948
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 279630
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Hologic Selenia Demensions 3D 9000 None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 579030
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 08/17/2016 None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Angio Cath Project None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 8800000
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO S132955-30-00 None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP Electrical Upgrade None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 2743256
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.27.3 PROJ_02_OSHPD_PROJ_NO S132944-30-00 None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.28.1 PROJ_03_DESCRIP_CAP_EXP Mechanical and Electrical Upgrade Project None None
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.28.2 PROJ_03_PROJTD_CAP_EXP None None 7754000
2016 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2016 12/31/2016 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.28.3 PROJ_03_OSHPD_PROJ_NO H132944-30-00 None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 23
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 8418
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 409
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 1529
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 25
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 9150
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 483
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 1645
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 2
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 732
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 74
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 116
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 25
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 9150
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 483
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 1645
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 77
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 127
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.40.1 BED_SWING_SN None None 23
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 573
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 8
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1361
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 42
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 1073
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 65
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 529
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 103
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 775
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 347
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 4311
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 565
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 4876
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 4
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 5107
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 14
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 77
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 8865
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 1
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 341
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 28215
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 71
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 2
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 24
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 1
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 530-283-2121 Jeffrey Kepple, MD Yes 01/01/2016 12/31/2016 None None None None None None Cindy Crosslin Open 04/14/1959 04/14/1959 None None None NO None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.16.1 CHEM_BED_LIC None None 10
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.16.2 CHEM_LICBED_DAY None None 3660
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.16.3 CHEM_DIS None None 381
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.16.5 CHEM_CENS_DAY None None 2499
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.17.1 PSY_BED_LIC None None 58
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.17.2 PSY_LICBED_DAY None None 21228
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.17.3 PSY_DIS None None 1521
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.17.5 PSY_CENS_DAY None None 10772
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.25.1 HOSP_BED_LIC_TOTL None None 68
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.25.2 HOSP_LICBED_DAY_TOTL None None 24888
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.25.3 HOSP_DIS_TOTL None None 1902
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.25.5 HOSP_CENS_DAY_TOTL None None 13271
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.43.1 PSY_LCK_CENS_PATIENT None None 12
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.44.1 PSY_OPN_CENS_PATIENT None None 15
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.45.1 PSY_CENS_PATIENT_TOTL None None 27
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.47.1 PSY_CENS_PATIENT_18-64 None None 27
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.50.1 PSY_CENS_PATIENT_TOTL None None 27
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.51.1 PSY_CENS_PATIENT_MCAR None None 8
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 9
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.53.1 PSY_CENS_PATIENT_MCAL None None 1
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.56.1 PSY_CENS_PATIENT_OTHR_THIRDPTY None None 1
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 8
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.65.1 PSY_CENS_PATIENT_TOTL None None 27
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.70.1 PSY_PROG_SHDOYL Yes None None
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.71.1 HOSPICE_PROG No None None
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 4.50.1 EMS_AMB_DIVERS No None None
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 5.15.1 AMB_SURG_PROG No None None
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 5.31.1 ABC_OP_PROG No None None
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2016 12/31/2016 Acadia Healthcare 6100 Tower Circle Drive None Franklin TN 97097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 41
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 15006
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 676
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 2184
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 51
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 18666
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 843
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 2520
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 6
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 2196
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 162
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 324
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 51
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 18666
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 843
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 2520
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 7
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 162
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 329
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 4
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1464
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 5
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 12
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 97
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2580
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 11
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 4219
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 16
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 2218
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 106
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 351
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 66
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 9465
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 199
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 9664
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 6
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 261
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 18465
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 698
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 37800
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 154
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 6
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 55
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2016 12/31/2016 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 125
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 45750
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 6190
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 28101
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 193
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 70638
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 8985
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 38667
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 28
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10248
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2176
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 4564
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 193
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 70638
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 8985
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 38667
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 15
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 5490
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 209
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 422
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 20
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2014
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 3391
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 13
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4758
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 195
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 435
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 3263
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 12
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4392
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 215
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 149
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 2317
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 18532
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4961
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 7279
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 7651
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 922
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5700
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 39345
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5700
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 45045
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 14
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1948
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 2877
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 356190
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 7
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1629
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 154020
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2226
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 154
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 57
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 843
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 7
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Alaris Pump Modules None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1616466
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 06/15/2016 None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Lease None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Network Cabling Project None None
2016 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2016 12/31/2016 Parkview Community Hospital Medical Center 3865 Jackson St None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1394440
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.1 PSY_BED_LIC None None 427
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.2 PSY_LICBED_DAY None None 156282
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.3 PSY_DIS None None 1065
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.5 PSY_CENS_DAY None None 184854
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.1 IC_BED_LIC None None 860
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.2 IC_LICBED_DAY None None 314760
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.3 IC_DIS None None 290
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.5 IC_CENS_DAY None None 387404
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.1 HOSP_BED_LIC_TOTL None None 1287
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.2 HOSP_LICBED_DAY_TOTL None None 471042
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.3 HOSP_DIS_TOTL None None 1355
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.5 HOSP_CENS_DAY_TOTL None None 572258
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.43.1 PSY_LCK_CENS_PATIENT None None 1864
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.45.1 PSY_CENS_PATIENT_TOTL None None 1864
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.47.1 PSY_CENS_PATIENT_18-64 None None 1768
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.49.1 PSY_CENS_PATIENT_=65 None None 96
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.50.1 PSY_CENS_PATIENT_TOTL None None 1864
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 1864
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.65.1 PSY_CENS_PATIENT_TOTL None None 1864
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.70.1 PSY_PROG_SHDOYL No None None
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.71.1 HOSPICE_PROG No None None
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.50.1 EMS_AMB_DIVERS No None None
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.15.1 AMB_SURG_PROG No None None
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.20.1 BIRTHS_LIVE_TOTL None None 1
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.31.1 ABC_OP_PROG No None None
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Harry Oreol Yes 01/01/2016 12/31/2016 Departement of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 157
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 57462
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 267
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 97722
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 3661
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 13060
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.17.1 PSY_BED_LIC None None 25
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 9150
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.17.3 PSY_DIS None None 1333
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 8083
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 57
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 20862
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 3057
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6419
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 292
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 106872
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 4994
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 21143
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 30
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 3141
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5232
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 21
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 7686
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 16
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 16
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 14
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 2
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.5.1 CCU_BED_LIC None None 14
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 5124
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 16
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 3
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 10
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.54.1 PSY_CENS_PATIENT_MNG_MCAL None None 1
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 2
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 16
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 18
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 6588
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.9.3 REHAB_DIS None None 604
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 6641
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL II None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 676
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 4
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 151
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 15
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 827
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 19
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 846
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 20
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 49
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1031
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 85922
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 11
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 424
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 38310
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3105
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 159
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 11
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 921
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 11
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None Level II NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 128
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 46848
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4206
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 18228
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 188
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 68808
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5477
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 24773
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.16.1 CHEM_BED_LIC None None 18
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.16.2 CHEM_LICBED_DAY None None 6588
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.1 PSY_BED_LIC None None 85
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 31110
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.3 PSY_DIS None None 4750
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 34060
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 23
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8418
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.3 PERINATL_DIS None None 944
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2048
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 291
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 106506
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 10227
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 58833
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 33
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 911
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1675
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.1 ICU_BED_LIC None None 10
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3660
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.3 ICU_DIS None None 179
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 504
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2458
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 35
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.44.1 PSY_OPN_CENS_PATIENT None None 62
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 97
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 89
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 8
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.1 CCU_BED_LIC None None 5
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1830
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 97
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 32
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 9
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 50
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 3
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.59.1 PSY_CENS_PATIENT_OTHR_INDIG None None 3
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 97
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 22
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 8052
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.3 REHAB_DIS None None 148
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2039
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 14701
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 9560
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 6081
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 742
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 965
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 7005
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 32049
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 7005
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 39054
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.35.1 EMS_STATION None None 20
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 2125
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 25
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 16
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 5
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 46
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.1.1 SURG_IP None None 635
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 52353
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.10.1 OP_RM_TOTL None None 4
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.2.1 SURG_OP None None 731
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 29750
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 934
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 22
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 2
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.36.1 BIRTHS_LIVE_ABC None None 2
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 335
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 169
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 73
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 242
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 218
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 28
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 21
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 20
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 3
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 44
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 7
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 28
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 18
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 146
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.85.1 CATH_TOTL None None 533
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 Neerav Jadeja Yes 01/01/2016 12/31/2016 Prime Healthcare Services 3300 E. Guasti Road None Ontario CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 52
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 19032
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 596
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 10303
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 57
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 20862
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 661
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 11719
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.17.1 PSY_BED_LIC None None 43
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 15738
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 100
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 36600
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 661
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 11719
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 5
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1830
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 65
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1416
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 295
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 11184
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 432
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 15735
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 619-582-3800-8006 Tim Clark Yes 01/01/2016 12/31/2016 Promise Healthcare Inc. 999 Yamato Road Third Floor Boac Raton FL 33431 Kevin Ohler Closed 03/31/2017 03/01/1965 None None None NO None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 68
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 24888
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4541
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 15366
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 95
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 34770
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5932
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 21027
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.1 PSY_BED_LIC None None 12
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 4392
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.3 PSY_DIS None None 192
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 4067
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.1 SN_BED_LIC None None 129
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 47214
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.3 SN_DIS None None 489
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.5 SN_CENS_DAY None None 39892
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 11
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 4026
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 1334
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2658
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 236
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 86376
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6613
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 64986
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 19
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1191
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2109
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4392
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 9
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 180
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2668
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 12
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 12
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 2
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 10
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 12
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 7
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 5
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 12
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.1 NICU_BED_LIC None None 4
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 1464
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.3 NICU_DIS None None 48
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 335
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 100
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 52
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1096
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 5787
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 14
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 7597
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 118
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 3283
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2985
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 17863
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 3170
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 21033
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 21
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 189
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 2
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 7
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 1
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 8
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1475
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 116081
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 4
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 2462
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 206697
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1254
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 52
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 3
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 376
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 204
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 86688
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 19308
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 66827
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 286
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 105344
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 19334
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 77112
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 34
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 1088
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 286
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 105344
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 19334
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 77112
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 24
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8784
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 13
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 321
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5142
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.1 CCU_BED_LIC None None 24
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 8784
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.3 CCU_DIS None None 13
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 320
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 5143
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1075
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 30
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2077
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 13776
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 22
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 21908
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 376
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 10918
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 8485
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 49754
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 8913
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 58667
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 52
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 367
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 5
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 7
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 9
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 16
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 6229
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 870277
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 12
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 3353
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 301275
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 108
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 45
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 108
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 45
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 113
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.55.1 CATH_CARD_RM None None 4
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 516
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 430
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 129
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 134
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 645
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 564
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1000
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 134
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 24
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 102
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 83
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 555
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 28
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 13
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.76.1 PTBV None None 2
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.77.1 DX_EP_STUDY None None 135
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 129
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 90
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 70
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.81.1 CAROTID_STENTING None None 16
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 38
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 8
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 100
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.85.1 CATH_TOTL None None 2527
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 12
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP INTUITIVE SURGICAL/DA VINCI SYSTEM Xi None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 3640987
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 08/22/2016 None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Lease None None
2016 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Frank Bierne Yes 01/01/2016 12/31/2016 Palomar Health 456 E. Grand Ave None Escondido CA 92028 Brendan Griffiths Open 08/15/2012 None None None None NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 184
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 68049
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1089
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 57408
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 284
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 100842
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 3713
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 74113
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.17.1 PSY_BED_LIC None None 83
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 30378
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.17.3 PSY_DIS None None 1116
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 17718
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.18.1 SN_BED_LIC None None 30
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 10980
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.18.3 SN_DIS None None 230
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.18.4 SN_TFR_INHOSP None None 3
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.18.5 SN_CENS_DAY None None 9544
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 21
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 7968
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.2.3 PERINATL_DIS None None 1407
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6214
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 397
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 142200
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 5059
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 101375
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.3.1 PED_BED_LIC None None 8
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 2928
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.3.3 PED_DIS None None 532
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1094
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.4.1 ICU_BED_LIC None None 58
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 16152
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.4.3 ICU_DIS None None 674
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 2484
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 9008
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 50
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 50
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 44
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 6
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1128
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 50
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 21
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.58.1 PSY_CENS_PATIENT_SHDOYL None None 25
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 4
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 50
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL Yes None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.8.1 NICU_BED_LIC None None 13
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4617
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.8.3 NICU_DIS None None 11
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 51
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 389
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL I None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Comprehensive None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Comprehensive None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 2117
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 13
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 18988
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 322
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 25841
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 5402
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 6881
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 2943
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 2423
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2699
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 56250
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 11379
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 67629
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.35.1 EMS_STATION None None 59
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 56250
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 4221
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 232
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 230
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 190
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 239
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 271
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 283
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 322
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 330
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 295
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 302
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 220
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 220
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 3134
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.1.1 SURG_IP None None 3401
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 667149
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.10.1 OP_RM_TOTL None None 12
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.2.1 SURG_OP None None 3647
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 405158
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1107
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 96
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 13
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.36.1 BIRTHS_LIVE_ABC None None 4
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 238
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 222
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 140
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 145
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 11
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 367
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 151
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 528
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.66.1 MYOCARDIAL_BIOPSY None None 1
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 32
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 8
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 110
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 7
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.75.1 THROMBO_AGT None None 117
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 4
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 51
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.85.1 CATH_TOTL None None 858
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 12
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-8000 Susan Ehrlich Yes 01/01/2016 12/31/2016 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 10
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 3660
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.3 MED_SURG_DIS None None 199
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 407
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 10
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 3660
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 199
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 407
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 10
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 3660
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 199
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 407
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.15.2 ED_PHYSN_AVAIL_ON_CALL Yes None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.1.1 SURG_IP None None 199
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 35104
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.2.1 SURG_OP None None 732
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 62717
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2016 12/31/2016 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 61
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 22326
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1802
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 8305
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 80
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 29280
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 2389
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 10639
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 10
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 3660
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 429
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 898
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 80
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 29280
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 2389
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 10639
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 10
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 418
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 744
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 9
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3294
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 158
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 360
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1436
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 627
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 2
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1556
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 10603
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 46
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 3289
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1043
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 974
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 565
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 17049
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 1657
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 18706
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 15
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 462
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 749
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 89754
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1685
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 119292
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 453
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 97
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 1
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2016 12/31/2016 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.1.1 MED_SURG_BED_LIC None None 42
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.1.2 MED_SURG_LICBED_DAY None None 15372
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.1.3 MED_SURG_DIS None None 2
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.1.5 MED_SURG_CENS_DAY None None 634
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.15.1 GAC_BED_LIC_SUBTOTL None None 44
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 16104
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.15.3 GAC_DIS_SUBTOTL None None 2
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.15.5 GAC_CENS_DAY_SUBTOTL None None 634
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.18.1 SN_BED_LIC None None 201
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.18.2 SN_LICBED_DAY None None 73566
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.18.3 SN_DIS None None 10
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.18.5 SN_CENS_DAY None None 16188
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.20.1 IC_DEV_DISBL_BED_LIC None None 981
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.20.2 IC_DEV_DISBL_LICBED_DAY None None 359046
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.20.3 IC_DEV_DISBL_DIS None None 118
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.20.5 IC_DEV_DISBL_CENS_DAY None None 109149
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.25.1 HOSP_BED_LIC_TOTL None None 1226
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.25.2 HOSP_LICBED_DAY_TOTL None None 448716
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.25.3 HOSP_DIS_TOTL None None 130
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.25.5 HOSP_CENS_DAY_TOTL None None 125971
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.3.1 PED_BED_LIC None None 2
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.3.2 PED_LICBED_DAY None None 732
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.70.1 PSY_PROG_SHDOYL No None None
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.71.1 HOSPICE_PROG No None None
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 4.50.1 EMS_AMB_DIVERS No None None
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 5.15.1 AMB_SURG_PROG No None None
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 5.31.1 ABC_OP_PROG No None None
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 6.1.1 EQUIP_ACQ_OVER_500K No None None
2016 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-782-2000 Theresa Billeci Yes 01/01/2016 12/31/2016 None PO Box 2000 None Porterville CA 93257 Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 66
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 24090
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3169
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 12285
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 107
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 39055
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5832
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 19437
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 14
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 5110
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 1900
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 3673
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 107
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 39055
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 5832
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 19437
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.1 PED_BED_LIC None None 12
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 4380
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.3 PED_DIS None None 403
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1158
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 25
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1559
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2476
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 8
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2920
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 132
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 474
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1426
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.1 NICU_BED_LIC None None 7
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 2555
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.3 NICU_DIS None None 228
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 895
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL IV None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1283
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1316
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 4
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 19466
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 47
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 21936
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 172
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1043
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2589
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 45044
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2813
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 47857
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 16
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 374
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 2
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 4
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 6
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1647
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 104416
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 3170
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 131997
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1785
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 56
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 9
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 536
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT 207 WEST LEGION ROAD None BRAWLEY 92227 760-351-3333 Roger Armstrong Yes 01/01/2017 12/31/2017 None None None None None None Carly Loper Open 11/06/1950 11/06/1950 None None Level IV NO None None 90000146 56 40 51 6025010600 50 None 14 - San Diego/Imperial Imperial 90000087 Parent Facility -115.55183 32.96003 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 147
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 53655
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 6348
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 22905
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 199
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 72635
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 7721
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 29039
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 20
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 7300
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 1016
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2239
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 199
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 72635
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 7721
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 29039
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 7
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 2555
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 17
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 868
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1640
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 8
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2920
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 234
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1076
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 3271
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 10
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 3650
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 7
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 2555
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 123
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 624
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1445
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 2
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 6009
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 19350
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 9
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 22270
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 25
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 3483
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5758
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 52557
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5794
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 58351
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 22
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 792
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 212
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 149
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 100
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 52
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 35
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 23
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 11
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 25
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 1
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 17
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 18
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 104
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 747
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 1364
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 140543
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 9
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1616
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 108606
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 976
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 34
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 2
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 341
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 38
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 38
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 34
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 265
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 98
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 136
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 47
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 401
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 145
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 520
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 49
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 20
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 11
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 9
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 127
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 12
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 2
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 2
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 8
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 6
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 5
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 16
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 787
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 9
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP SYSTEM ENTERPRISE TELEMETRY MONITORS (87) None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1515232
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 02/06/2017 None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP ED EXPANSION None None
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1850000
2017 106190243 PIH HOSPITAL - DOWNEY 11500 BROOKSHIRE AVENUE None DOWNEY 90241 562-904-5000 RAMONA PRATT Yes 01/01/2017 12/31/2017 PIH HEALTH HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER CA 90602 Damon Wong Open 09/18/1969 09/18/1969 None None None NO None None 930000052 58 32 40 6037551300 78.2eee East 11 - Los Angeles Los Angeles 930000048 Parent Facility -118.13196 33.93515 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO H141515-19-00 None None
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 119
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 39746
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3433
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 13485
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 138
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 46092
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 4551
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 17222
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 10
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 3340
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.3 PERINATL_DIS None None 1051
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2846
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 138
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 46092
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 4551
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 17222
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 12
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1012
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2404
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 9
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3006
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 67
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 246
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 891
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 1087
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 87172
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.2.1 SURG_OP None None 1325
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 57936
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1011
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 44
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 413
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 2
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106190307 PACIFIC ALLIANCE MEDICAL CENTER 531 WEST COLLEGE STREET None LOS ANGELES 90012 213-830-6506 John Edwards Yes 01/01/2017 11/30/2017 None None None None None None Gloria Ruiz Closed 11/30/2017 01/01/1946 None None None NO None None 930000057 51 24 34 6037207103 78.2ffff Metro 11 - Los Angeles Los Angeles 930000054 Parent Facility -118.23905 34.06464 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 245
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 89425
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 15959
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 61013
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 329
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 120085
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 20819
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 83802
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 48
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 17520
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 13
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 16967
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 35
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 12775
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 3431
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 8362
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 377
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 137605
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 20832
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 100769
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 25
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2987
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5903
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4380
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 911
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1743
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 7648
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 12
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 4380
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 12
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4380
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 332
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 39
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 3974
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 13
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 4745
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 186
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2805
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL II None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 971
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 2
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 9911
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 38794
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 17
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 31402
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 748
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 13978
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 10456
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 95056
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 11225
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 106281
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 32
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1298
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 3
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 2
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 5
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 5192
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 721043
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 10
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1891
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 205029
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3295
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 227
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 38
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 1028
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 8
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 66
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 17
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 66
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 17
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 45
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 257
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 321
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 246
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 107
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 503
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 428
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 503
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 52
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 41
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 7
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 13
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 355
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 56
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 3
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 153
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 84
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 35
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 2
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 56
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1360
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Defibrillators Zoll None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1231549
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 12/15/2017 None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2017 106190385 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI STREET None MISSION HILLS 91345 818-365-8051 BERNIE KLEIN MD Yes 01/01/2017 12/31/2017 Providence Health System Providence Health System 1810 Linda Avenue SW Renton WA 98057 Paul Steinke Open 06/21/1961 06/21/1961 None None Level II NO None None 930000066 39 18 29 6037109100 78.2hh San Fernando Valley 11 - Los Angeles Los Angeles 930000404 Parent Facility -118.45951 34.2791 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 27
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 58176
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 212
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 3502
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 36
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 64539
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 252
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 4502
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 36
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 64539
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 252
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 4502
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.3.1 PED_BED_LIC None None 5
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 1515
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 2
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2727
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 40
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 44
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1000
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.5.1 CCU_BED_LIC None None 2
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 2121
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 5.7.1 OP_RM_IP_ONLY None None 2
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS 443 SOUTH SOTO STREET None LOS ANGELES 90033 562-531-3110-7402 Michael Choo Yes 01/01/2017 11/03/2017 None None None None None None Mark Apodaca Closed 10/30/2017 01/01/1946 None None None NO None None 930000003 53 24 34 6037204600 78.2h Metro 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.21247 34.03959 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 230
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 83950
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 13826
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 47347
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 327
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 119355
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 17686
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 66293
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 115
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 41975
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 1917
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 23858
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 22
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8030
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2513
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6988
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 442
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 161330
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 19603
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 90151
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 13
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 4745
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 613
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1382
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 22
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2236
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 4767
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 28
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 10220
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 550
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1315
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 6949
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.73.1 HOSPICE_CLASS_SN_BED Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 34
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 12410
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 184
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 3627
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 3
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 3
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 3
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 3
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.86.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER_CERTI None None 1
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 908
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 6
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 3767
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 5
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 19236
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 38
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 21874
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1155
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 13939
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 11323
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 59724
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 12527
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 72251
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 29
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 3271
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 6
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 2
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 2
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 3
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 9
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 6
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 2
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 5
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 2
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 48
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 85
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3618
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 533236
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 11
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 3940
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 391110
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2422
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 185
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 23
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 760
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 118
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 74
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 118
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 74
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 125
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 644
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 450
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 369
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 252
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1013
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 702
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1479
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 78
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 64
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 65
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 38
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 520
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 146
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 25
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.76.1 PTBV None None 2
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 51
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 76
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 37
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 85
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 46
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 5
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 180
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2897
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 11
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP 2017 - SCACORP - Progressa ICU Beds- Buy Out None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 679210
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 12/16/2017 None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2017 106190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE 4101 TORRANCE BOULEVARD None TORRANCE 90503 310-303-3101 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1081 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 12/21/1959 12/21/1959 None None None NO None None 930000081 66 26 33 6037650602 78.2u South Bay 11 - Los Angeles Los Angeles 930000089 Parent Facility -118.356771 33.83891 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 154
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 56210
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 7213
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 28823
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 249
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 90885
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 13179
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 52143
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 29
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10585
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2681
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6962
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 249
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 90885
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 13179
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 52143
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 18
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 6570
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 1113
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 2505
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 31
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2432
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 5897
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 17
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 6205
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 528
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5314
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 10
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 3650
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 1319
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 4421
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 21
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 7665
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 325
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 4118
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 602
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 2
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4839
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 6
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 18999
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 53
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 12849
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 961
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 5512
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 4589
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 42801
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5611
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 48412
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 15
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 289
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 20
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 7
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 1
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 3
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 4
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 6
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 2
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 8
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 51
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3137
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 493320
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 13
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4374
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 444840
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2566
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 155
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 21
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 992
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 62
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 3
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 62
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 3
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 47
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 624
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 281
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 486
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 581
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1110
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 862
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1086
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 103
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 54
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 52
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 111
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 573
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 54
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 9
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 505
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 278
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 62
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 14
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 6
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 6
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 17
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 364
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 3294
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 13
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Building 1 Replacement and Renovation None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 23407000
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO I170010-19-00 None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP ePC NLA: Temporary Shoring - Building 3 SPC-4D Upgrade Temporary Shoring None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 1228000
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.3 PROJ_02_OSHPD_PROJ_NO H171831-19-00 None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.1 PROJ_03_DESCRIP_CAP_EXP Interim Pharmacy None None
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.2 PROJ_03_PROJTD_CAP_EXP None None 3181093
2017 106190517 PROVIDENCE TARZANA MEDICAL CENTER 18321 CLARK STREET None TARZANA 91356 818-881-0800 Dale Surowitz Yes 01/01/2017 12/31/2017 Providence Health System-Southern California 1801 Lind Avenue, SW NO.9016 None Renton WA 98057-9016 Jeanne Sulka Open 10/02/1973 10/02/1973 None None None NO None None 930000091 45 27 30 6037139401 78.2yy San Fernando Valley 11 - Los Angeles Los Angeles 930000097 Parent Facility -118.532001 34.17067 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.3 PROJ_03_OSHPD_PROJ_NO S170547-19-00 None None
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 165
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 60225
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.3 MED_SURG_DIS None None 918
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 34440
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 177
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 64605
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 1043
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 38166
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 177
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 64605
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 1043
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 38166
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.1 ICU_BED_LIC None None 7
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2555
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.3 ICU_DIS None None 125
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 386
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 3726
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.1 CCU_BED_LIC None None 5
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1825
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.1.1 SURG_IP None None 473
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 33306
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.2.1 SURG_OP None None 16
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 1154
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN CAMPUS 16453 COLORADO AVENUE None PARAMOUNT 90723 562-531-3110-7402 Michael Choo Yes 01/01/2017 12/31/2017 None None None None None None Mark Apodaca Open 02/15/2005 11/11/1971 None None None NO None None 930000033 63 33 40 6037553802 78.2m South 11 - Los Angeles Los Angeles 930000088 Parent Facility -118.16144 33.8849 General Acute Care Investor - Partnership General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 167
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 62795
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 12470
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 44004
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 388
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 142500
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 22199
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 89507
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 38
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 13870
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 84
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 30660
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 6728
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 17740
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 426
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 156370
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 22199
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 89507
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 34
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 12410
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.3 PED_DIS None None 1133
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.5 PED_CENS_DAY None None 2579
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 41
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 5601
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 12341
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 38
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 12910
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 946
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1918
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 10151
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 12
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 4380
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 235
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 652
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 2746
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 53
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 19345
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 687
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 930
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 12287
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL II None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 13882
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 37411
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 5
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 25060
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 2953
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 6965
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 10144
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 83318
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 13102
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 96420
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 68
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 2662
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 27
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 6
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 19
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 9
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 10
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 8
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 6
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 8
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 4
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 7
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 62
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 166
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 3596
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 447510
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 15
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 6365
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 488455
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 6392
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 289
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 94
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG Yes None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.33.1 ABC_LDRP Yes None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.36.1 BIRTHS_LIVE_ABC None None 4320
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 2072
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 165
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 7
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 165
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 7
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 131
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 3
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 413
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 120
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 620
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 299
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 1033
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 419
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 635
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 102
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 59
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 86
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 12
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 384
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 31
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 3
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 21
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.76.1 PTBV None None 13
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 103
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 102
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 30
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 5
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 43
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 5
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 33
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 9
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 92
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1763
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 10
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP DOU2 CONVERSION-12 BEDS ICU None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 6711637
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP PARKING STUCTURE None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 13580010
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.1 PROJ_03_DESCRIP_CAP_EXP MEDSELECT DISP CABINET None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.2 PROJ_03_PROJTD_CAP_EXP None None 1616045
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.29.1 PROJ_04_DESCRIP_CAP_EXP TCU CONVERSION-ACUTE CARE UNIT None None
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.29.2 PROJ_04_PROJTD_CAP_EXP None None 5334457
2017 106190630 POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 NORTH GAREY AVENUE None POMONA 91767 909-865-9500 Richard Yochum Yes 01/01/2017 12/31/2017 None None None None None None Dustin Westfall Open 01/01/1946 01/01/1946 None None Level II NO None None 930000123 52 20 35 6037402102 78.2tt San Gabriel Valley 11 - Los Angeles Los Angeles 930000128 Parent Facility -117.750621 34.07709 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.30.1 PROJ_05_DESCRIP_CAP_EXP LA VERNE MEDICAL OFFICE BLDG None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 323
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 117895
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 11416
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 43538
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 512
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 186880
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 17161
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 71505
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 35
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 12775
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 584
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 6398
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 32
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 11680
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 1934
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 5342
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 547
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 199655
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 17745
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 77903
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 34
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 12410
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 45
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1599
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 3229
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 72
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 26280
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 410
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 2302
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5821
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.3 CCU_DIS None None 2859
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 2959
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 10726
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 34
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 12410
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 352
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 3621
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 17
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 6205
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 190
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2457
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1332
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 6
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 9605
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 24042
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 6
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 26882
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 2331
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 7075
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 6391
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 68936
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 8736
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 77672
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 56
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 819
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 48
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 13
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 16
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 9
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 13
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 19
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 12
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 6
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 27
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 20
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 8
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 111
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 302
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4557
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 605097
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 16
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 8666
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 567026
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1767
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 115
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 18
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 511
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 148
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 1
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 148
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 1
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 101
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 564
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 379
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 415
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 281
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 979
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 660
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 1306
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 158
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 63
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 436
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 60
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 7
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 42
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 52
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 4
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 33
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 41
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 2198
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 12
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Magnetom Aera Tesla 1.5 W. Docking Patient Table None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1854292
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 09/14/2017 None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.1 EQUIP_02_DESCRIP CT Somatom Force None None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.2 EQUIP_02_VALUE None None 2287325
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.3 EQUIP_02_ACQUI_DT None 09/30/2017 None
2017 106190631 PRESBYTERIAN INTERCOMMUNITY HOSPITAL 12401 WASHINGTON BLVD. None WHITTIER 90602 562-698-0811-81488 JIM WEST Yes 01/01/2017 12/31/2017 None None None None None None Damon Wong Open 01/15/1959 01/15/1959 None None None NO None None 930000099 57 32 38 6037502100 78.2uu East 11 - Los Angeles Los Angeles 930000129 Parent Facility -118.049255 33.9697943 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.4 EQUIP_02_ACQUI_MEANS Purchase None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 104
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 37960
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 3853
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 12678
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 158
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 57670
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 4923
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 20993
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.1 CHEM_BED_LIC None None 48
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.2 CHEM_LICBED_DAY None None 17520
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.3 CHEM_DIS None None 292
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.16.5 CHEM_CENS_DAY None None 2876
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.1 PSY_BED_LIC None None 25
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 9125
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.3 PSY_DIS None None 668
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 7667
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.1 SN_BED_LIC None None 125
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 45625
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.3 SN_DIS None None 547
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.18.5 SN_CENS_DAY None None 41671
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 22
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8030
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 529
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 1269
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 356
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 129940
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6430
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 73207
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 18
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 509
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1079
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4380
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 226
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 602
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2345
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 21
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 21
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 16
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 5
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 21
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 5
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 13
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.54.1 PSY_CENS_PATIENT_MNG_MCAL None None 1
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 2
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 21
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 20
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 7300
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 315
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 4701
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 571
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 4098
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 1
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 15372
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 23
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 11283
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 353
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 5977
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 3339
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 37301
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 3716
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 41017
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 16
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 459
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 42
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 15
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 6
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 7
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 14
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 1
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 10
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 5
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 5
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 6
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 36
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 147
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 766
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 110285
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 6
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1200
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 104215
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 513
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 9
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 142
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 6
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP 2017 - SCACORP - PLCMSP Seismic Bld 1T Central None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 5344542
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP 2017 - SCACORP - PLCMSP Seismic Bld 2 West None None
2017 106190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO 1300 WEST SEVENTH STREET None SAN PEDRO 90732 310-514-5494 Garry Olney Yes 01/01/2017 12/31/2017 PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA 1801 LIND AVE. SW None RENTON WA 98057 Phuong Ly Open 01/01/1946 01/01/1946 None None None NO None None 930000157 70 35 44 6037609900 78.2o South Bay 11 - Los Angeles Los Angeles 930000142 Parent Facility -118.303893 33.737939 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 4843879
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 48
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 17520
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1916
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 7758
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 95
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 34675
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 2265
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 9102
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.1 PSY_BED_LIC None None 38
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 13870
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.3 PSY_DIS None None 1822
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 12453
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.1 SN_BED_LIC None None 98
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 35770
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.3 SN_DIS None None 79
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.18.5 SN_CENS_DAY None None 20790
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 16
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 5840
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.3 PERINATL_DIS None None 212
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 573
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 231
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 84315
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 4166
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 42345
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.1 PED_BED_LIC None None 24
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 8760
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.3 PED_DIS None None 7
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.3.5 PED_CENS_DAY None None 12
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 196
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 196
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 509
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 7
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 2555
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 130
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 196
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 759
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 29
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 29
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 29
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 29
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 1
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 28
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 29
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 3015
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 63
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 3684
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 94
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 1781
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 289
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 882
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 314
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 594
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 1230
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 9956
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 1990
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 11946
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 7
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 813
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 166
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 62
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 11
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 7
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 15
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 5
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 27
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 19
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 50
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 52
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 112
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 179
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 705
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 303
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 15036
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 3
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 350
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 11842
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 199
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 12
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 2
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 125
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 3
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106190696 PACIFICA HOSPITAL OF THE VALLEY 9449 SAN FERNANDO ROAD None SUN VALLEY 91352 818-767-3310 Ayman Mousa Yes 01/01/2017 12/31/2017 Pacifica of the Valley Corporation 9449 San Fernando Rd. None Sun Valley CA 91352 Marisol Flores Open 12/30/1946 12/30/1946 None None None NO None None 930000133 39 18 29 6037121210 78.2ppp San Fernando Valley 11 - Los Angeles Los Angeles 930000148 Parent Facility -118.39555 34.24088 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 196
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 71540
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 9861
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 42024
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 266
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 97090
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 12372
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 55252
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 29
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10585
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 1887
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 5309
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 266
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 97090
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 12372
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 55252
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 24
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1793
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 4004
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 23
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8395
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 475
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 968
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 6497
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 18
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 6570
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 149
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 32
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 1422
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 2
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 2
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 274
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1787
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 4
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 7306
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 21
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 7338
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 550
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 4637
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 3387
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 21342
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 3962
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 25304
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 27
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1395
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 191
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 159
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 249
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 84
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 25
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 94
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 41
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 9
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 40
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 115
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 55
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 102
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 1164
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4727
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 950820
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 17
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4048
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 517080
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1874
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 86
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 7
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 532
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 2
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 67
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 1
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 67
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 1
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 29
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 4
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 332
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 321
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 318
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 519
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 650
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 840
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 471
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 139
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 51
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 24
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 25
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 205
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 17
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 3
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.76.1 PTBV None None 2
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 59
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 123
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 58
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 4
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 17
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.81.1 CAROTID_STENTING None None 1
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 11
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 3
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 382
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1591
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 13
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106190756 PROVIDENCE SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD. None SANTA MONICA 90404 310-829-5511 Marcel Loh Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SW None Renton WA 98057 Reem Thomas Open 01/01/1949 01/01/1949 None None None NO None None 930000100 50 26 33 6037701602 78.2kkkk West 11 - Los Angeles Los Angeles 930000158 Parent Facility -118.478668 34.029804 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 269
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 98185
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 12374
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 47563
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 392
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 143080
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 16496
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 72401
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 24
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8760
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2668
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6977
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 392
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 143080
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 16496
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 72401
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 32
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 2224
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 4795
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 38
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 13870
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 878
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 1178
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 10558
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.1 CCU_BED_LIC None None 16
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 5840
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 20
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 7300
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 379
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 52
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 4582
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 2
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 2
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 2
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 25
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 9125
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.3 REHAB_DIS None None 197
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2721
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1349
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 3
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 5650
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 2
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 20406
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 25
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 19081
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 704
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 12617
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 9434
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 59103
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 10168
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 69271
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 24
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1112
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 20
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 3
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 2
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 8
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 7
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 6
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 16
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 4
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 6
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 7
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 5
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 8
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 92
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 4405
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 513835
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 15
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 4834
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 446320
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2516
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 155
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 28
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 939
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 41
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 35
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 41
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 35
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 42
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 518
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 351
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 268
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 134
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 786
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 485
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 883
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 56
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 20
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 50
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 24
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 330
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 50
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 7
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.75.1 THROMBO_AGT None None 2
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.77.1 DX_EP_STUDY None None 37
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 80
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 19
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 16
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 56
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.85.1 CATH_TOTL None None 1630
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 15
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Alaris Smart Pumps None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1762288
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 08/24/2017 None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Fire Alarm Head End None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 1200000
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP REMODEL INFUSION CTR None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 2480721
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.1 PROJ_03_DESCRIP_CAP_EXP House Doctors None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.28.2 PROJ_03_PROJTD_CAP_EXP None None 1304952
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.29.1 PROJ_04_DESCRIP_CAP_EXP Genetics Suite None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.29.2 PROJ_04_PROJTD_CAP_EXP None None 1226811
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.1 EQUIP_02_DESCRIP HOUSE Movable Equipm None None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.2 EQUIP_02_VALUE None None 1265288
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.3 EQUIP_02_ACQUI_DT None 03/21/2017 None
2017 106190758 PROVIDENCE SAINT JOSEPH MEDICAL CENTER 501 S BUENA VISTA STREET None BURBANK 91505-4809 818-847-3377 Kelly M Linden Yes 01/01/2017 12/31/2017 Providence Health and Services 1801 Lind Ave SE, Suite 9016 None Renton WA 98057 Indeera Ganesan Open 01/01/1946 01/01/1946 None None None NO None None 930000101 43 25 30 6037311600 78.2ttt San Fernando Valley 11 - Los Angeles Los Angeles 930000159 Parent Facility -118.32655 34.15486 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.3.4 EQUIP_02_ACQUI_MEANS Purchase None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 133
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 48545
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 6089
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 21783
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 184
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 66323
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 6887
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 30946
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 184
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 66323
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 6887
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 30946
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 24
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8760
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 619
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 4807
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 7047
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 27
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 9018
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.9.3 REHAB_DIS None None 179
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 2116
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1238
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 30457
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 29
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 31644
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 5335
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 3463
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 2134
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 72
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 116
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 66874
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 7614
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 74488
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 35
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 40
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 12
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 40
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 5
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 12
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 11
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 3
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 4
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 8
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 1
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 4
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 79
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 179
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 2613
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 393129
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 7
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 1988
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 182916
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 6
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 6
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 198
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 6
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 198
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 6
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.55.1 CATH_CARD_RM None None 2
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 110
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 70
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 133
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 97
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 243
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 167
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 320
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 24
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 20
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 31
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 9
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 193
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 8
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 4
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 6
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 73
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 53
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.81.1 CAROTID_STENTING None None 1
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 3
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 6
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 36
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.85.1 CATH_TOTL None None 787
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 7
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106196405 PALMDALE REGIONAL MEDICAL CENTER 38600 MEDICAL CENTER DRIVE None PALMDALE 93551 661-382-5100 Richard Allen Yes 01/01/2017 12/31/2017 Universal Health Services, Inc. 367 S. Gulph Road None King of Prussia PA 19406 Deborah Cockerham-Slaughter Open 12/09/2010 12/09/2010 None None None NO None None None 36 21 25 6037910401 77.1a Antelope Valley 11 - Los Angeles Los Angeles 930000085 Parent Facility -118.1443461 34.5843754 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None None None None None None None None None None None Suspense 01/31/2013 08/05/1965 None None None No None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care None None 3.1.1 MED_SURG_BED_LIC None None 70
2017 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None None None None None None None None None None None Suspense 01/31/2013 08/05/1965 None None None No None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care None None 3.1.2 MED_SURG_LICBED_DAY None None 25550
2017 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None None None None None None None None None None None Suspense 01/31/2013 08/05/1965 None None None No None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care None None 3.15.1 GAC_BED_LIC_SUBTOTL None None 101
2017 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None None None None None None None None None None None Suspense 01/31/2013 08/05/1965 None None None No None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care None None 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 36865
2017 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None None None None None None None None None None None Suspense 01/31/2013 08/05/1965 None None None No None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care None None 3.2.1 PERINATL_BED_LIC None None 14
2017 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None None None None None None None None None None None Suspense 01/31/2013 08/05/1965 None None None No None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care None None 3.2.2 PERINATL_LICBED_DAY None None 5110
2017 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None None None None None None None None None None None Suspense 01/31/2013 08/05/1965 None None None No None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care None None 3.25.1 HOSP_BED_LIC_TOTL None None 101
2017 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None None None None None None None None None None None Suspense 01/31/2013 08/05/1965 None None None No None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care None None 3.25.2 HOSP_LICBED_DAY_TOTL None None 36865
2017 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None None None None None None None None None None None Suspense 01/31/2013 08/05/1965 None None None No None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care None None 3.3.1 PED_BED_LIC None None 5
2017 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None None None None None None None None None None None Suspense 01/31/2013 08/05/1965 None None None No None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care None None 3.3.2 PED_LICBED_DAY None None 1825
2017 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None None None None None None None None None None None Suspense 01/31/2013 08/05/1965 None None None No None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care None None 3.4.1 ICU_BED_LIC None None 12
2017 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None None None None None None None None None None None Suspense 01/31/2013 08/05/1965 None None None No None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care None None 3.4.2 ICU_LICBED_DAY None None 4380
2017 106301097 PACIFIC ORANGE HOSPITAL, LLC 3350 WEST BALL ROAD None ANAHEIM 92804 None None None None None None None None None None None None Suspense 01/31/2013 08/05/1965 None None None No None None 60000001 65 29 46 6059087801 116c None 13 - Orange Orange 60000079 Parent Facility -118.00706 33.81716 General Acute Care None None 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 106
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 38690
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.1.3 MED_SURG_DIS None None 2891
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 8771
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 114
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 41610
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 3068
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 9874
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 114
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 41610
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 3068
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 9874
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.1 ICU_BED_LIC None None 4
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1460
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.3 ICU_DIS None None 89
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 131
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 552
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.1 CCU_BED_LIC None None 4
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1460
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.3 CCU_DIS None None 88
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 130
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 551
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 317
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 1
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 1982
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 10645
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 15
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 11098
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 331
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 5039
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2063
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 29081
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 2410
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 31491
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.35.1 EMS_STATION None None 20
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 404
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 1
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 4
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 1
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 59
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 65
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.1.1 SURG_IP None None 966
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 125085
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.2.1 SURG_OP None None 2801
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 271065
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP Da Vinci Surgical Robot None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 1750000
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 11/14/2017 None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Lease None None
2017 106301297 PLACENTIA LINDA HOSPITAL 1301 NORTH ROSE DRIVE None PLACENTIA 92870 714-993-2000 Christina Oh Yes 01/01/2017 12/31/2017 Tenet Healthcare Corporation 1445 Ross Ave, Ste 1400 None Dallas TX 75202 Robert Oertel Open 09/27/1972 09/27/1972 None None None NO None None 60000062 55 29 39 6059011715 116m None 13 - Orange Orange 60000157 Parent Facility -117.8434267 33.887072 General Acute Care Investor - Corporation General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 None None None None None None None None None None None None Open 04/14/1959 04/14/1959 None None None No None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care None None 3.1.1 MED_SURG_BED_LIC None None 23
2017 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 None None None None None None None None None None None None Open 04/14/1959 04/14/1959 None None None No None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care None None 3.1.2 MED_SURG_LICBED_DAY None None 8395
2017 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 None None None None None None None None None None None None Open 04/14/1959 04/14/1959 None None None No None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care None None 3.15.1 GAC_BED_LIC_SUBTOTL None None 25
2017 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 None None None None None None None None None None None None Open 04/14/1959 04/14/1959 None None None No None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care None None 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 9125
2017 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 None None None None None None None None None None None None Open 04/14/1959 04/14/1959 None None None No None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care None None 3.2.1 PERINATL_BED_LIC None None 2
2017 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 None None None None None None None None None None None None Open 04/14/1959 04/14/1959 None None None No None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care None None 3.2.2 PERINATL_LICBED_DAY None None 730
2017 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 None None None None None None None None None None None None Open 04/14/1959 04/14/1959 None None None No None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care None None 3.25.1 HOSP_BED_LIC_TOTL None None 25
2017 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 None None None None None None None None None None None None Open 04/14/1959 04/14/1959 None None None No None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care None None 3.25.2 HOSP_LICBED_DAY_TOTL None None 9125
2017 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 None None None None None None None None None None None None Open 04/14/1959 04/14/1959 None None None No None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care None None 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2017 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 None None None None None None None None None None None None Open 04/14/1959 04/14/1959 None None None No None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care None None 4.2.2 ED_LIC_LEVL_END Standby None None
2017 106320986 PLUMAS DISTRICT HOSPITAL 1065 BUCKS LAKE ROAD None QUINCY 95971 None None None None None None None None None None None None Open 04/14/1959 04/14/1959 None None None No None None 230000015 1 1 1 6063000100 123.1 None 01 - Northern California Plumas 230000030 Parent Facility -120.96214 39.93921 General Acute Care None None 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.16.1 CHEM_BED_LIC None None 10
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.16.2 CHEM_LICBED_DAY None None 3650
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.16.3 CHEM_DIS None None 285
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.16.5 CHEM_CENS_DAY None None 2075
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.17.1 PSY_BED_LIC None None 58
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.17.2 PSY_LICBED_DAY None None 21170
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.17.3 PSY_DIS None None 1592
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.17.5 PSY_CENS_DAY None None 11126
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.25.1 HOSP_BED_LIC_TOTL None None 68
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.25.2 HOSP_LICBED_DAY_TOTL None None 24820
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.25.3 HOSP_DIS_TOTL None None 1877
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.25.5 HOSP_CENS_DAY_TOTL None None 13201
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.43.1 PSY_LCK_CENS_PATIENT None None 24
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.44.1 PSY_OPN_CENS_PATIENT None None 13
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.45.1 PSY_CENS_PATIENT_TOTL None None 37
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.47.1 PSY_CENS_PATIENT_18-64 None None 30
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.49.1 PSY_CENS_PATIENT_=65 None None 7
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.50.1 PSY_CENS_PATIENT_TOTL None None 37
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.51.1 PSY_CENS_PATIENT_MCAR None None 10
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 8
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.53.1 PSY_CENS_PATIENT_MCAL None None 3
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 5
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 11
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.65.1 PSY_CENS_PATIENT_TOTL None None 37
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.70.1 PSY_PROG_SHDOYL No None None
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.71.1 HOSPICE_PROG No None None
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 4.50.1 EMS_AMB_DIVERS No None None
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 5.15.1 AMB_SURG_PROG No None None
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 5.31.1 ABC_OP_PROG No None None
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106331226 PACIFIC GROVE HOSPITAL 5900 BROCKTON AVENUE None RIVERSIDE 92506 951-275-8400 Nelson Smith Yes 01/01/2017 12/31/2017 Acadia Healthcare 6100 Tower Circle Drive Suite 1000 Franklin TN 37097 Kelli Wright Open 10/01/1961 10/01/1961 None None None NO None None 250000048 61 31 41 6065030700 135c None 12 - Inland Counties Riverside 250000476 Parent Facility -117.39574 33.96229 Acute Psychiatric Investor - Limited Liability Company Psychiatric 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 41
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 14965
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 695
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 2035
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 51
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 18615
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 860
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 2336
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 6
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 2190
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 154
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 289
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 51
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 18615
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 860
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 2336
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 7
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 154
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 289
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 4
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 1460
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 11
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 12
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Standby None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Standby None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 198
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 3610
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 3691
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 1850
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 143
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 9492
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 9492
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 6
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 2
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 2
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 323
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 11467
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 596
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 18780
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 154
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 5
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 40
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106331288 PALO VERDE HOSPITAL 250 NORTH FIRST STREET None BLYTHE 92225 760-922-4115 Sandra Anaya Yes 01/01/2017 12/31/2017 Palo Verde Health Care District 250 N First Street None Blythe CA 92225 Christa Rohde Open 03/20/1946 03/20/1946 None None None NO None None 250000042 56 28 36 6065046101 126 None 12 - Inland Counties Riverside 250000184 Parent Facility -114.5956 33.61315 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 125
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 45625
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 5696
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 25135
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 193
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 70445
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 8150
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 34367
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 28
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 10220
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 2060
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 4173
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 193
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 70445
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 8150
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 34367
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.1 PED_BED_LIC None None 15
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 5475
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 20
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1916
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 3112
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 13
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4745
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 177
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 451
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 3023
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.1 NICU_BED_LIC None None 12
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4380
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.3 NICU_DIS None None 217
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 134
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 2036
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 1
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 1
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 1
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 1
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 9628
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 28
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 11184
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 7
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 7744
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 12
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 6995
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 20
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 902
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 5385
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 36453
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 5452
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 41905
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 14
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 2007
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 2694
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 336810
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 7
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1537
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 152310
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 2068
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 104
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 17
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 741
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 7
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP Emergency Department Addition None None
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 25028192
2017 106331293 PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 3865 JACKSON STREET None RIVERSIDE 92503 951-688-2211-1597 Steve Popkin Yes 01/01/2017 12/31/2017 Parkview Community Hospital Medical Center 3865 Jackson St. None Riverside CA 92503 Michelle Allen Open 10/24/1958 10/24/1958 None None None NO None None 250000044 60 31 41 6065031501 135c None 12 - Inland Counties Riverside 250000186 Parent Facility -117.43996 33.92573 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.26.3 PROJ_01_OSHPD_PROJ_NO H132591-33-00 None None
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.1 PSY_BED_LIC None None 427
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.2 PSY_LICBED_DAY None None 155855
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.3 PSY_DIS None None 1112
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.17.5 PSY_CENS_DAY None None 183655
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.1 IC_BED_LIC None None 860
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.2 IC_LICBED_DAY None None 313900
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.3 IC_DIS None None 334
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.19.5 IC_CENS_DAY None None 381124
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.1 HOSP_BED_LIC_TOTL None None 1287
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.2 HOSP_LICBED_DAY_TOTL None None 469755
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.3 HOSP_DIS_TOTL None None 1446
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.25.5 HOSP_CENS_DAY_TOTL None None 564779
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.43.1 PSY_LCK_CENS_PATIENT None None 1537
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.45.1 PSY_CENS_PATIENT_TOTL None None 1537
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.47.1 PSY_CENS_PATIENT_18-64 None None 1392
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.49.1 PSY_CENS_PATIENT_=65 None None 145
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.50.1 PSY_CENS_PATIENT_TOTL None None 1537
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 1537
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.65.1 PSY_CENS_PATIENT_TOTL None None 1537
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.70.1 PSY_PROG_SHDOYL No None None
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.71.1 HOSPICE_PROG No None None
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 4.50.1 EMS_AMB_DIVERS No None None
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.15.1 AMB_SURG_PROG No None None
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.31.1 ABC_OP_PROG No None None
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106361768 PATTON STATE HOSPITAL 3102 E. HIGHLAND AVENUE None PATTON 92369 909-425-7407 Michael Barsom Yes 01/01/2017 12/31/2017 Department of State Hospitals 1600 9th Street, Room 141 None Sacramento CA 95814 Jessica Abenes Open 09/29/1975 09/29/1975 None None None NO None None 240000083 40 23 31 6071012300 151k None 12 - Inland Counties San Bernardino 170000831 Parent Facility -117.21957 34.13589 Acute Psychiatric State Psychiatric 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.1.1 MED_SURG_BED_LIC None None 157
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.1.2 MED_SURG_LICBED_DAY None None 57305
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.15.1 GAC_BED_LIC_SUBTOTL None None 267
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 97455
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.15.3 GAC_DIS_SUBTOTL None None 573
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.15.5 GAC_CENS_DAY_SUBTOTL None None 6824
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.17.1 PSY_BED_LIC None None 25
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.17.2 PSY_LICBED_DAY None None 9125
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.17.3 PSY_DIS None None 1052
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.17.5 PSY_CENS_DAY None None 7433
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.2.1 PERINATL_BED_LIC None None 57
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.2.2 PERINATL_LICBED_DAY None None 20805
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.2.3 PERINATL_DIS None None 1
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.2.5 PERINATL_CENS_DAY None None 2
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.25.1 HOSP_BED_LIC_TOTL None None 292
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.25.2 HOSP_LICBED_DAY_TOTL None None 106580
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.25.3 HOSP_DIS_TOTL None None 1625
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.25.5 HOSP_CENS_DAY_TOTL None None 14257
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.4.1 ICU_BED_LIC None None 21
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.4.2 ICU_LICBED_DAY None None 7665
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.43.1 PSY_LCK_CENS_PATIENT None None 10
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.45.1 PSY_CENS_PATIENT_TOTL None None 10
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.47.1 PSY_CENS_PATIENT_18-64 None None 7
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.49.1 PSY_CENS_PATIENT_=65 None None 3
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.5.1 CCU_BED_LIC None None 14
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.5.2 CCU_LICBED_DAY None None 5110
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.50.1 PSY_CENS_PATIENT_TOTL None None 10
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.51.1 PSY_CENS_PATIENT_MCAR None None 4
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 3
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.53.1 PSY_CENS_PATIENT_MCAL None None 2
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.54.1 PSY_CENS_PATIENT_MNG_MCAL None None 1
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.65.1 PSY_CENS_PATIENT_TOTL None None 10
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.70.1 PSY_PROG_SHDOYL No None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.71.1 HOSPICE_PROG No None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 7
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 7
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 3
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.9.1 REHAB_BED_LIC None None 18
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.9.2 REHAB_LICBED_DAY None None 6570
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.9.3 REHAB_DIS None None 572
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.9.5 REHAB_CENS_DAY None None 6822
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL II None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 4.15.2 ED_PHYSN_AVAIL_ON_CALL Yes None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 2
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 30
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 4.30.1 EMS_NO_ADM_VIS_TOTL None None 32
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 4.30.3 ED_TRAFFIC_TOTL None None 32
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 4.50.1 EMS_AMB_DIVERS No None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 5.15.1 AMB_SURG_PROG No None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 5.20.1 BIRTHS_LIVE_TOTL None None 1
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 5.31.1 ABC_OP_PROG No None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106370755 PALOMAR HEALTH DOWNTOWN CAMPUS 555 E. VALLEY PARKWAY None ESCONDIDO 92025 780-739-3000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 08/02/1950 08/02/1950 None None None NO None None 80000142 75 38 50 6073020202 156e None 14 - San Diego/Imperial San Diego 80000083 Parent Facility -117.07628 33.12586 General Acute Care District Physical Rehabilitation 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 128
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 46720
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4307
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 15508
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 188
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 68620
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 5520
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 21475
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.16.1 CHEM_BED_LIC None None 18
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.16.2 CHEM_LICBED_DAY None None 6570
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.1 PSY_BED_LIC None None 85
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 31025
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.3 PSY_DIS None None 4637
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 34128
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 23
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 8395
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.3 PERINATL_DIS None None 936
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 1990
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 291
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 106215
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 10157
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 55603
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 930
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 1626
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.1 ICU_BED_LIC None None 10
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3650
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.3 ICU_DIS None None 156
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 519
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2211
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 56
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 56
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 53
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 3
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.1 CCU_BED_LIC None None 5
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 1825
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 56
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 19
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 4
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.53.1 PSY_CENS_PATIENT_MCAL None None 30
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.64.1 PSY_CENS_PATIENT_OTHR_PAYER None None 3
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 56
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.1 REHAB_BED_LIC None None 22
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.2 REHAB_LICBED_DAY None None 8030
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.3 REHAB_DIS None None 121
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.9.5 REHAB_CENS_DAY None None 1766
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 14867
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 9344
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 5940
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 4860
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 876
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 106
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 2385
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2294
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 33412
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 7260
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 40672
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.35.1 EMS_STATION None None 20
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 1432
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 31
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 25
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 5
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 1
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 16
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 78
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.1.1 SURG_IP None None 670
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 50394
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.2.1 SURG_OP None None 685
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 33074
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 930
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 17
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 1
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 254
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 154
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 46
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 33
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 6
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 187
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 52
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 176
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 23
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 31
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 20
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 41
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 42
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 3
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 18
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 13
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 2
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 121
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.85.1 CATH_TOTL None None 490
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 5
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106370759 PARADISE VALLEY HOSPITAL 2400 EAST FOURTH STREET None NATIONAL CITY 91950 619-470-4321 NEERAV JADEJA Yes 01/01/2017 12/31/2017 PRIME HEALTHCARE.SERVICES 3300 E. GUASTI ROAD None ONTARIO CA 91761 Claudia Quilitorio Open 03/29/1966 03/29/1966 None None None NO None None 90000145 79 40 51 6073011902 161g None 14 - San Diego/Imperial San Diego 90000086 Parent Facility -117.0830382 32.6863293 General Acute Care Investor - Limited Liability Company General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 None None None None None None None None None None None None Closed 03/31/2017 03/01/1965 None None None No None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care None None 3.1.1 MED_SURG_BED_LIC None None 52
2017 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 None None None None None None None None None None None None Closed 03/31/2017 03/01/1965 None None None No None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care None None 3.1.2 MED_SURG_LICBED_DAY None None 4680
2017 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 None None None None None None None None None None None None Closed 03/31/2017 03/01/1965 None None None No None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care None None 3.15.1 GAC_BED_LIC_SUBTOTL None None 57
2017 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 None None None None None None None None None None None None Closed 03/31/2017 03/01/1965 None None None No None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care None None 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 5130
2017 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 None None None None None None None None None None None None Closed 03/31/2017 03/01/1965 None None None No None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care None None 3.17.1 PSY_BED_LIC None None 43
2017 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 None None None None None None None None None None None None Closed 03/31/2017 03/01/1965 None None None No None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care None None 3.17.2 PSY_LICBED_DAY None None 3870
2017 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 None None None None None None None None None None None None Closed 03/31/2017 03/01/1965 None None None No None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care None None 3.25.1 HOSP_BED_LIC_TOTL None None 100
2017 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 None None None None None None None None None None None None Closed 03/31/2017 03/01/1965 None None None No None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care None None 3.25.2 HOSP_LICBED_DAY_TOTL None None 9000
2017 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 None None None None None None None None None None None None Closed 03/31/2017 03/01/1965 None None None No None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care None None 3.4.1 ICU_BED_LIC None None 5
2017 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 None None None None None None None None None None None None Closed 03/31/2017 03/01/1965 None None None No None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care None None 3.4.2 ICU_LICBED_DAY None None 450
2017 106370787 PROMISE HOSPITAL OF SAN DIEGO 5550 UNIVERSITY AVENUE None SAN DIEGO 92105 None None None None None None None None None None None None Closed 03/31/2017 03/01/1965 None None None No None None 90000155 79 39 53 6073002702 161f None 14 - San Diego/Imperial San Diego 90000105 Parent Facility -117.07612 32.74786 General Acute Care None None 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 68
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 24820
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 4111
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 13740
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 95
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 34675
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 6649
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 18215
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.1 PSY_BED_LIC None None 12
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 4380
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.3 PSY_DIS None None 141
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 2332
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.1 SN_BED_LIC None None 129
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 47085
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.3 SN_DIS None None 434
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.18.5 SN_CENS_DAY None None 11704
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 11
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 4015
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 2273
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 2274
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 236
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 86140
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 7224
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 32251
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 12
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 4380
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 220
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 2101
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 6
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 6
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 1
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 5
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 6
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 3
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.52.1 PSY_CENS_PATIENT_MNG_MCAR None None 2
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.57.1 PSY_CENS_PATIENT_MNG_OTHR_THIRDPTY None None 1
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 6
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.1 NICU_BED_LIC None None 4
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 1460
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.3 NICU_DIS None None 45
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 100
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 7
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 7
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 3
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 153
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 2346
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 9922
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 11
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 11101
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 158
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 5396
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 3510
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 28918
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 3679
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 32597
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 20
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 2499
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 53
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 21
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 47
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 20
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 62
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 40
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 14
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 23
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 9
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 10
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 67
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 366
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 1563
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 110724
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 4
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 2668
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 126811
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 971
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 35
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 2
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 271
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106370977 POMERADO HOSPITAL 15615 POMERADO ROAD None POWAY 92064 858-613-4000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Brendan Griffiths Open 06/22/1977 06/22/1977 None None None NO None None 80000147 77 38 52 6073017054 161q None 14 - San Diego/Imperial San Diego 80000127 Parent Facility -117.05784 32.99563 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 204
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 74460
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.1.3 MED_SURG_DIS None None 18326
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 62403
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 286
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 104390
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 25341
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 80045
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 34
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 12410
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.2.3 PERINATL_DIS None None 6477
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 7584
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 286
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 104390
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 25341
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 80045
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.1 ICU_BED_LIC None None 24
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 8760
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.3 ICU_DIS None None 269
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 114
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 5029
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.1 CCU_BED_LIC None None 24
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.2 CCU_LICBED_DAY None None 8760
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.3 CCU_DIS None None 269
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.4 CCU_TFR_INHOSP None None 114
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.5.5 CCU_CENS_DAY None None 5029
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED Yes None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.81.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES None None 2
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.82.1 INPATIENT_PALLIATIVE_CARE_PROG_NURSES_CERTIFIED None None 1
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.83.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN None None 7
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.84.1 INPATIENT_PALLIATIVE_CARE_PROG_PHYSICIAN_CERTIFIED None None 7
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.85.1 INPATIENT_PALLIATIVE_CARE_PROG_SOCIAL_WORKER None None 1
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.87.1 INPATIENT_PALLIATIVE_CARE_PROG_CHAPLAINS None None 3
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED Yes None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.16.2 ED_PSYCH_ER_AVAIL_ON_CALL Yes None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 335
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 5819
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 25430
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 47
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 34881
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 311
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 17943
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 14010
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 84408
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 14368
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 98776
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.35.1 EMS_STATION None None 52
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.40.1 EMS_NON_EMERG_VIS None None 27758
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 2376
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 2
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 3
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 5
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.1.1 SURG_IP None None 8378
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 1031944
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.10.1 OP_RM_TOTL None None 12
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.2.1 SURG_OP None None 4436
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 371551
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 3320
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 140
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 9
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 586
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CV SURG None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.42.1 CVSURG_LIC_OP_RM None None 1
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.44.1 CVSURG_WITH_ECBPASS_ADLT None None 26
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.44.2 CVSURG_WITHOUT_ECBPASS_ADLT None None 148
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.45.1 CVSURG_WITH_ECBPASS_TOTL None None 26
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.45.2 CVSURG_WITHOUT_ECBPASS_TOTL None None 148
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.50.1 CVSURG_CABG_TOTL None None 103
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.55.1 CATH_CARD_RM None None 4
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 219
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.58.2 CATH_IP_ADLT_THER_VIS None None 584
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 458
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.59.2 CATH_OP_ADLT_THER_VIS None None 493
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 677
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.60.2 CATH_THER_VIS_TOTL None None 1077
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 475
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 357
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 67
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.712.1 ICD_IMPLANTATION None None 74
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.713.1 OTH_ICD_PROCEDURES None None 13
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 526
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 47
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.74.1 ATHERECTOMY_PTCRA None None 9
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.76.1 PTBV None None 1
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.77.1 DX_EP_STUDY None None 138
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.78.1 CATHETER_ABLATION None None 195
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.79.1 PERIPHERAL_VASCULAR_ANGIOGRAPHY None None 562
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.80.1 PERIPHERAL_VASCULAR_INTERVENTIONAL None None 427
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.81.1 CAROTID_STENTING None None 38
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 44
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.83.1 CATHETER_BASED_VENTRICULAR_INS None None 8
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 30
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.85.1 CATH_TOTL None None 3011
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 12
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL Yes None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.26.1 PROJ_01_DESCRIP_CAP_EXP PMC - Radiation Therapy Facility (Lease Improvement) None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.26.2 PROJ_01_PROJTD_CAP_EXP None None 7517558
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.27.1 PROJ_02_DESCRIP_CAP_EXP PMC - ED/POD Buildout None None
2017 106374382 PALOMAR MEDICAL CENTER 2185 W. CITRACADO PARKWAY None ESCONDIDO 92029 442-281-5000 Sheila Brown Yes 01/01/2017 12/31/2017 Palomar Health 456 E Grand None Escondido CA 92028 Alejandro Jara Open 08/15/2012 None None None Level II NO None None None 75 38 50 6073020307 156e None 14 - San Diego/Imperial San Diego 80000083 Consolidated Facility -117.11961 33.12158 General Acute Care District General Medical / Surgical 6.27.2 PROJ_02_PROJTD_CAP_EXP None None 3611077
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 184
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 67160
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.1.3 MED_SURG_DIS None None 11063
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 62079
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 284
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 103660
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 14032
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 79804
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.17.1 PSY_BED_LIC None None 83
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.17.2 PSY_LICBED_DAY None None 30295
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.17.3 PSY_DIS None None 1168
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.17.5 PSY_CENS_DAY None None 17165
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.18.1 SN_BED_LIC None None 30
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.18.2 SN_LICBED_DAY None None 10950
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.18.3 SN_DIS None None 215
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.18.5 SN_CENS_DAY None None 10269
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 21
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 7665
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.2.3 PERINATL_DIS None None 1619
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 6109
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 397
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 144905
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 15415
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 107238
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.3.1 PED_BED_LIC None None 8
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.3.2 PED_LICBED_DAY None None 2920
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.3.3 PED_DIS None None 514
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.3.5 PED_CENS_DAY None None 1096
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 1038
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 2574
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.4.1 ICU_BED_LIC None None 58
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 21170
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.4.3 ICU_DIS None None 817
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 2683
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 9914
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.43.1 PSY_LCK_CENS_PATIENT None None 50
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.45.1 PSY_CENS_PATIENT_TOTL None None 50
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.47.1 PSY_CENS_PATIENT_18-64 None None 44
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.49.1 PSY_CENS_PATIENT_=65 None None 6
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.50.1 PSY_CENS_PATIENT_TOTL None None 50
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.51.1 PSY_CENS_PATIENT_MCAR None None 17
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.56.1 PSY_CENS_PATIENT_OTHR_THIRDPTY None None 2
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.58.1 PSY_CENS_PATIENT_SHDOYL None None 31
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.65.1 PSY_CENS_PATIENT_TOTL None None 50
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL Yes None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.8.1 NICU_BED_LIC None None 13
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.8.2 NICU_LICBED_DAY None None 4745
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.8.3 NICU_DIS None None 19
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.8.4 NICU_TFR_INHOSP None None 75
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.8.5 NICU_CENS_DAY None None 606
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.1.1 EMSA_TRAUMA_CTR_DESIG LEVEL I None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.11.1 ED_ANESTH_AVAIL24HRS Yes None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.13.1 ED_OP_RM_AVAIL24HRS Yes None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.14.1 ED_PHARM_AVAIL24HRS Yes None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Comprehensive None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Comprehensive None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 1597
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.21.2 EMS_VISITS_NON_URGENT_ADMITTED None None 7
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 19620
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.22.2 EMS_VISITS_URGENT_ADMITTED None None 305
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 25340
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 4497
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 11465
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 4563
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 2318
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 2689
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 60340
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 12061
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 72401
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.35.1 EMS_STATION None None 59
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 3795
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.50.1 EMS_AMB_DIVERS Yes None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.51.1 EMS_AMB_DIVERS_JAN_HOURS None None 231
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.52.1 EMS_AMB_DIVERS_FEB_HOURS None None 309
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.53.1 EMS_AMB_DIVERS_MAR_HOURS None None 301
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.54.1 EMS_AMB_DIVERS_APR_HOURS None None 260
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.55.1 EMS_AMB_DIVERS_MAY_HOURS None None 298
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.56.1 EMS_AMB_DIVERS_JUN_HOURS None None 283
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.57.1 EMS_AMB_DIVERS_JUL_HOURS None None 311
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.58.1 EMS_AMB_DIVERS_AUG_HOURS None None 189
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.59.1 EMS_AMB_DIVERS_SEP_HOURS None None 251
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.60.1 EMS_AMB_DIVERS_OCT_HOURS None None 301
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.61.1 EMS_AMB_DIVERS_NOV_HOURS None None 237
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.62.1 EMS_AMB_DIVERS_DEC_HOURS None None 217
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 4.65.1 EMS_AMB_DIVERS_TOTL_HOURS None None 3188
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.1.1 SURG_IP None None 3401
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 667149
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.10.1 OP_RM_TOTL None None 12
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.15.1 AMB_SURG_PROG Yes None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.2.1 SURG_OP None None 3647
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 405158
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 1237
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 103
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 7
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 244
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS CATH LAB None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.55.1 CATH_CARD_RM None None 1
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.58.1 CATH_IP_ADLT_DX_VIS None None 346
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.59.1 CATH_OP_ADLT_DX_VIS None None 174
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.60.1 CATH_DX_VIS_TOTL None None 520
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.65.1 CARDIAC_CATH_DX_PROC None None 445
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.71.1 PACEMKR_PERM_IMPL None None 29
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.711.1 OTH_PERM_PACEMAKER_PROC None None 25
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.72.1 PCI_WITH_STENT None None 80
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.73.1 PCI_WITHOUT_STENT None None 2
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.82.1 INTRA_AORTIC_BALLOON_PUMP_INS None None 5
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.84.1 OTHR_CATH_PROC None None 53
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.85.1 CATH_TOTL None None 639
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 12
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106380939 PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER 1001 POTRERO AVENUE None SAN FRANCISCO 94110 415-206-3517 Susan Ehrlich Yes 01/01/2017 12/31/2017 San Francisco Department of Public Health 101 Grove Street None San Francisco CA 94102 Anson Moon Open 07/01/1953 07/01/1953 None None Level I YES None None 220000019 17 11 12 6075022802 162c None 04 - West Bay San Francisco 220000063 Parent Facility -122.40637 37.75657 General Acute Care City and/or County General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 10
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 3650
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.3 MED_SURG_DIS None None 172
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 338
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 10
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 3650
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 172
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 338
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 10
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 3650
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 172
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 338
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.71.1 HOSPICE_PROG No None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.12.2 ED_LAB_SVCS_AVAIL_ON_CALL Yes None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.15.2 ED_PHYSN_AVAIL_ON_CALL Yes None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.16.1 ED_PSYCH_ER_AVAIL24HRS Yes None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.17.2 ED_RADIOL_SVCS_AVAIL_ON_CALL Yes None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.1.1 SURG_IP None None 172
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 33200
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.10.1 OP_RM_TOTL None None 2
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.2.1 SURG_OP None None 628
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 59603
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 2
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106454013 PATIENTS HOSPITAL OF REDDING 2900 EUREKA WAY None REDDING 96001 530-225-8700 Shari Lejsek Yes 01/01/2017 12/31/2017 None None None None None None Kim Cameron Open 03/23/1992 03/23/1992 None None None NO None None 230000444 1 1 1 6089010602 189.2 None 01 - Northern California Shasta 230000195 Parent Facility -122.41632 40.58563 General Acute Care Investor - individual General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.1 MED_SURG_BED_LIC None None 61
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.2 MED_SURG_LICBED_DAY None None 22265
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.3 MED_SURG_DIS None None 1911
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.1.5 MED_SURG_CENS_DAY None None 8378
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.1 GAC_BED_LIC_SUBTOTL None None 80
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 29200
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.3 GAC_DIS_SUBTOTL None None 2488
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.15.5 GAC_CENS_DAY_SUBTOTL None None 10631
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.1 PERINATL_BED_LIC None None 10
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.2 PERINATL_LICBED_DAY None None 3650
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.3 PERINATL_DIS None None 441
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.2.5 PERINATL_CENS_DAY None None 921
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.1 HOSP_BED_LIC_TOTL None None 80
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.2 HOSP_LICBED_DAY_TOTL None None 29200
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.3 HOSP_DIS_TOTL None None 2488
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.25.5 HOSP_CENS_DAY_TOTL None None 10631
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.1 NEWBORN_NURSRY_BASSINETS None None 10
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.3 NEWBORN_NURSRY_INFANTS None None 428
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.35.5 NEWBORN_NURSRY_CENS_DAY None None 750
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.1 ICU_BED_LIC None None 9
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.2 ICU_LICBED_DAY None None 3285
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.3 ICU_DIS None None 136
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.4 ICU_TFR_INHOSP None None 390
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.4.5 ICU_CENS_DAY None None 1332
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.70.1 PSY_PROG_SHDOYL No None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.71.1 HOSPICE_PROG Yes None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.72.1 HOSPICE_CLASS_GAC_BED Yes None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.11.2 ED_ANESTH_AVAIL_ON_CALL Yes None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.12.1 ED_LAB_SVCS_AVAIL24HRS Yes None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.13.2 ED_OP_RM_AVAIL_ON_CALL Yes None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.14.2 ED_PHARM_AVAIL_ON_CALL Yes None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.15.1 ED_PHYSN_AVAIL24HRS Yes None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.17.1 ED_RADIOL_SVCS_AVAIL24HRS Yes None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.1 ED_LIC_LEVL_BEGIN Basic None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.2.2 ED_LIC_LEVL_END Basic None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.21.1 EMS_VISITS_NON_URGENT_NOT_ADMITTED None None 795
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.22.1 EMS_VISITS_URGENT_NOT_ADMITTED None None 995
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.1 EMS_VISITS_MODERATE_NOT_ADMITTED None None 11289
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.23.2 EMS_VISITS_MODERATE_ADMITTED None None 25
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.1 EMS_VISITS_SEVERE_NOT_ADMITTED None None 2847
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.24.2 EMS_VISITS_SEVERE_ADMITTED None None 1246
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.1 EMS_VISITS_CRITICAL_NOT_ADMITTED None None 1412
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.25.2 EMS_VISITS_CRITICAL_ADMITTED None None 497
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.1 EMS_NO_ADM_VIS_TOTL None None 17338
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.2 EMS_ADM_VIS_TOTL None None 1768
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.30.3 ED_TRAFFIC_TOTL None None 19106
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.35.1 EMS_STATION None None 15
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.45.1 EMS_REGISTERS_NO_TREAT None None 398
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 4.50.1 EMS_AMB_DIVERS No None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.1 SURG_IP None None 650
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.1.2 OP_RM_MIN_IP None None 71908
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.10.1 OP_RM_TOTL None None 5
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.15.1 AMB_SURG_PROG No None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.1 SURG_OP None None 1367
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.2.2 OP_RM_MIN_OP None None 98836
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.20.1 BIRTHS_LIVE_TOTL None None 411
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.21.1 BIRTHS_LIVE_<5LBS_8OZ None None 9
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.22.1 BIRTHS_LIVE_<3LBS_5OZ None None 1
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.31.1 ABC_OP_PROG No None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.37.1 BIRTHS_LIVE_C_SEC None None 116
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.8.1 OP_RM_OP_ONLY None None 1
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 5.9.1 OP_RM_IP_AND_OP None None 4
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.1.1 EQUIP_ACQ_OVER_500K Yes None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.1 EQUIP_01_DESCRIP 3d Mammography None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.2 EQUIP_01_VALUE None None 926255
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.3 EQUIP_01_ACQUI_DT None 09/01/2017 None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.2.4 EQUIP_01_ACQUI_MEANS Purchase None None
2017 106491001 PETALUMA VALLEY HOSPITAL 400 NORTH MCDOWELL BOULEVARD None PETALUMA 94954 707-522-1570 Todd Salnas Yes 01/01/2017 12/31/2017 St. Joseph Health 3345 Michelson Drive, Suite 100 None Irvine CA 92612 Connie Bertlshofer Open 03/05/1980 03/05/1980 None None None NO None None 110000040 10 3 2 6097150609 209.1 None 03 - North Bay Sonoma 110000001 Parent Facility -122.63302 38.25323 General Acute Care Non-Profit Corporation (incl. Church-related) General Medical / Surgical 6.25.1 CAP_EXP_OVER_1MIL No None None
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.1.1 MED_SURG_BED_LIC None None 42
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.1.2 MED_SURG_LICBED_DAY None None 15330
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.1.3 MED_SURG_DIS None None 2
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.1.5 MED_SURG_CENS_DAY None None 730
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.15.1 GAC_BED_LIC_SUBTOTL None None 44
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.15.2 GAC_LICBED_DAY_SUBTOTL None None 16060
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.15.3 GAC_DIS_SUBTOTL None None 2
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.15.5 GAC_CENS_DAY_SUBTOTL None None 730
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.18.1 SN_BED_LIC None None 201
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.18.2 SN_LICBED_DAY None None 73365
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.18.3 SN_DIS None None 9
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.18.5 SN_CENS_DAY None None 9855
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.20.1 IC_DEV_DISBL_BED_LIC None None 981
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.20.2 IC_DEV_DISBL_LICBED_DAY None None 358065
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.20.3 IC_DEV_DISBL_DIS None None 118
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.20.5 IC_DEV_DISBL_CENS_DAY None None 87965
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.25.1 HOSP_BED_LIC_TOTL None None 1226
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.25.2 HOSP_LICBED_DAY_TOTL None None 447490
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.25.3 HOSP_DIS_TOTL None None 129
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.25.5 HOSP_CENS_DAY_TOTL None None 98550
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.3.1 PED_BED_LIC None None 2
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.3.2 PED_LICBED_DAY None None 730
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.70.1 PSY_PROG_SHDOYL No None None
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.71.1 HOSPICE_PROG No None None
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.80.1 INPATIENT_PALLIATIVE_CARE_PROG_OFFERED No None None
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 3.90.1 OUTPATIENT_PALLIATIVE_CARE_SERV_OFFERED No None None
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 4.50.1 EMS_AMB_DIVERS No None None
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 5.15.1 AMB_SURG_PROG No None None
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 5.31.1 ABC_OP_PROG No None None
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 5.41.1 LICENSURE_CVSURG_SVCS Neither None None
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 6.1.1 EQUIP_ACQ_OVER_500K No None None
2017 106541123 PORTERVILLE DEVELOPMENTAL CENTER 26501 AVENUE 140 None PORTERVILLE 93258 559-559-2000 Theresa Billeci Yes 01/01/2017 12/31/2017 None None None None None None Sheryl Gilbert Open 06/03/1953 06/03/1953 None None None NO None None 160000117 26 14 23 6107004000 231 None 09 - Central Tulare 170000837 Parent Facility -118.98044 36.04381 General Acute Care State Developmentally Disabled 6.25.1 CAP_EXP_OVER_1MIL No None None