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Organization
RIDGECREST REGIONAL HOSPITAL
Active
Organization
RIDGECREST REGIONAL HOSPITAL
Active
Other names
Ridgecrest Regional Hospital Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A SUVER (CEO)
(760) 499-3900
Entity
Organization
Contact information
Practice address
1111 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3131
(760) 499-3855
(760) 499-3870
Mailing address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 499-3902
(760) 446-2254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
282NR1301X
Rural Acute Care Hospital
120000186
CA
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/08/2010
Last updated
04/13/2022
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