Healthcare Provider Details

I. General information

NPI: 1285685743
Provider Name (Legal Business Name): SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 CANAL ST
KING CITY CA
93930-3432
US

IV. Provider business mailing address

210 CANAL ST
KING CITY CA
93930-3432
US

V. Phone/Fax

Practice location:
  • Phone: 831-385-5471
  • Fax: 831-385-5940
Mailing address:
  • Phone: 831-385-5471
  • Fax: 831-385-5940

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: RENA SALAMACHA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 831-385-7284