Organization
COMMUNITY MEMORIAL HEALTH SYSTEM
Active
Parent organization
COMMUNITY MEMORIAL HEALTH SYSTEM
Other names
Santa Paula Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEMORIAL HEALTH SYSTEM
Authorized official
GARY WILDE (CEO)
(805) 652-5011
Entity
Organization
Contact information
Practice address
242 E HARVARD BLVD, SUITE C, SANTA PAULA, CA 93060-3372
(805) 525-9595
(805) 525-6667
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
261QR1300X
Rural Health Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM08609F
—
CA
Enumeration date
05/24/2007
Last updated
04/20/2008
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