Healthcare Provider Details

I. General information

NPI: 1598754491
Provider Name (Legal Business Name): COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 05/05/2023
Certification Date: 05/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BARNET SEGAL LN
MONTEREY CA
93940-7000
US

IV. Provider business mailing address

PO BOX HH BUSINESS DEVELOPMENT & CONTRACTING
MONTEREY CA
93942-6032
US

V. Phone/Fax

Practice location:
  • Phone: 831-658-3737
  • Fax: 831-658-3978
Mailing address:
  • Phone: 831-658-3977
  • Fax: 831-658-3978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0700000154
License Number StateCA

VIII. Authorized Official

Name: MATTHEW THOMAS MORGAN
Title or Position: VICE-PRESIDENT, CFO
Credential:
Phone: 831-625-4965