# COMMUNITY MEMORIAL HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMUNITY MEMORIAL HEALTH SYSTEM
- **Other names:** Santa Paula Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467663492
- **Legal business name:** COMMUNITY MEMORIAL HEALTH SYSTEM
- **Authorized official:** GARY WILDE (CEO)
- **Authorized official phone:** (805) 652-5011

## Contact information

- **Practice address:** 242 E HARVARD BLVD, SUITE C, SANTA PAULA, CA 93060-3372
- **Practice address phone:** (805) 525-9595
- **Practice address fax:** (805) 525-6667
- **Mailing address:** 2705 LOMA VISTA RD, SUITE 205, VENTURA, CA 93003-1581
- **Mailing address phone:** (805) 667-2801
- **Mailing address fax:** (805) 667-2865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 04/20/2008