Provider Demographics
NPI:1396913000
Name:ARMC
Entity type:Organization
Organization Name:ARMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ASSOCIATE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:FUGATE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-580-1800
Mailing Address - Street 1:400 N PEPPER AVE
Mailing Address - Street 2:DEPARTMENT OF BEHAVIORAL HEALTH
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-1801
Mailing Address - Country:US
Mailing Address - Phone:909-580-1800
Mailing Address - Fax:
Practice Address - Street 1:400 N PEPPER AVE
Practice Address - Street 2:DEPARTMENT OF BEHAVIORAL HEALTH
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-1801
Practice Address - Country:US
Practice Address - Phone:909-580-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENERAL ACUTE CARE HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital