Organization
COMMUNITY MEMORIAL HEALTH SYSTEM
Active
Parent organization
COMMUNITY MEMORIAL HEALTH SYSTEM
Other names
CMH Centers for Family Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEMORIAL HEALTH SYSTEM
Authorized official
MR. GARY K WILDE (CEO)
(805) 652-5011
Entity
Organization
Contact information
Practice address
4730 TELEPHONE RD, VENTURA, CA 93003-5210
(805) 643-1871
(805) 639-0786
Mailing address
2705 LOMA VISTA RD, SUITE 205, VENTURA, CA 93003-1581
(805) 667-2801
(805) 667-2865
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QV0200X
VA Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT40394F
—
CA
Enumeration date
06/15/2006
Last updated
06/21/2018
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