Provider Demographics
NPI:1437620242
Name:MWN COMMUNITY HOSPITAL, LLC
Entity Type:Organization
Organization Name:MWN COMMUNITY HOSPITAL, LLC
Other - Org Name:PSYCHIATRIC UNIT
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-378-5411
Mailing Address - Street 1:1720 TERMINO AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-2104
Mailing Address - Country:US
Mailing Address - Phone:562-378-5411
Mailing Address - Fax:562-735-4347
Practice Address - Street 1:1720 TERMINO AVENUE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-2104
Practice Address - Country:US
Practice Address - Phone:562-600-7226
Practice Address - Fax:562-606-2116
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MWN COMMUNITY HOSPITAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-06
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit