Organization
RIDGECREST REGIONAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ASHLEY SUVER (CEO)
(760) 499-3900
Entity
Organization
Contact information
Practice address
1653 TRIANGLE DR STE 200, RIDGECREST, CA 93555-2614
(760) 499-3617
(760) 499-3614
Mailing address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 446-3551
(760) 446-2254
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427043157
NPI
CA
01
—
1447253125
NPI
CA
05
—
HHA 70012F
—
CA
05
—
ZZT30448F
—
CA
Enumeration date
10/06/2009
Last updated
01/10/2020
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