Provider Demographics
NPI:1811306277
Name:MARNA HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:MARNA HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NAPOLEON
Authorized Official - Middle Name:SALMO
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:NHA 06333
Authorized Official - Phone:909-882-2965
Mailing Address - Street 1:4280 CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-2960
Mailing Address - Country:US
Mailing Address - Phone:909-882-2965
Mailing Address - Fax:909-886-2895
Practice Address - Street 1:4280 CYPRESS DR
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407-2960
Practice Address - Country:US
Practice Address - Phone:909-882-2965
Practice Address - Fax:909-886-2895
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARNA HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-10
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240000149282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1811306277Medicaid
CA1811306277Medicaid