# RIDGECREST REGIONAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RRH Mobile Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407231210
- **Authorized official:** MR. JAMES A SUVER (CEO)
- **Authorized official phone:** (760) 499-3900

## Contact information

- **Practice address:** 1111 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3131
- **Practice address phone:** (760) 499-3855
- **Practice address fax:** (760) 499-3870
- **Mailing address:** 1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
- **Mailing address phone:** (760) 446-3551

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2015
- **Last updated:** 07/14/2023