Healthcare Provider Details

I. General information

NPI: 1154548931
Provider Name (Legal Business Name): SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CANAL ST
KING CITY CA
93930-3431
US

IV. Provider business mailing address

300 CANAL ST
KING CITY CA
93930-3431
US

V. Phone/Fax

Practice location:
  • Phone: 831-385-6000
  • Fax:
Mailing address:
  • Phone: 831-385-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WALTER G. BECK
Title or Position: CEO
Credential:
Phone: 831-385-7233