# RIDGECREST REGIONAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** China Lake Community Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639448400
- **Authorized official:** JAMES A SUVER (CEO)
- **Authorized official phone:** (760) 499-3900

## Contact information

- **Practice address:** 1041 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3168
- **Practice address phone:** (760) 446-0121
- **Practice address fax:** (760) 446-0734
- **Mailing address:** 1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
- **Mailing address phone:** (760) 499-3899
- **Mailing address fax:** (760) 446-2254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2011
- **Last updated:** 09/16/2025
