Organization
SOLEDAD COMMUNITY HEALTH CARE DISTRICT
Active
Parent organization
SOLEDAD COMMUNITY HEALTH CARE DISTRICT
Other names
Soledad Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOLEDAD COMMUNITY HEALTH CARE DISTRICT
Authorized official
IDA LOPEZ CHAN (CHIEF EXECUTIVE OFFICER)
(831) 678-2462
Entity
Organization
Contact information
Practice address
600 MAIN ST, SOLEDAD, CA 93960-2533
(831) 678-2462
(831) 678-1539
Mailing address
612 MAIN ST, SOLEDAD, CA 93960-2533
(831) 678-2462
(831) 678-1539
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
070000327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM53997F
—
CA
Enumeration date
07/31/2006
Last updated
06/28/2021
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