# SOLEDAD COMMUNITY HEALTH CARE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOLEDAD COMMUNITY HEALTH CARE DISTRICT
- **Other names:** Soledad Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003822453
- **Legal business name:** SOLEDAD COMMUNITY HEALTH CARE DISTRICT
- **Authorized official:** IDA LOPEZ CHAN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (831) 678-2462

## Contact information

- **Practice address:** 600 MAIN ST, SOLEDAD, CA 93960-2533
- **Practice address phone:** (831) 678-2462
- **Practice address fax:** (831) 678-1539
- **Mailing address:** 612 MAIN ST, SOLEDAD, CA 93960-2533
- **Mailing address phone:** (831) 678-2462
- **Mailing address fax:** (831) 678-1539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 070000327 | CA | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 06/28/2021