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General NPI Number Information
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NPI Number | 1992876767
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Entity Type | Organization
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Legal Business Name | COMMUNITY MEMORIAL HEALTH SYSTEM
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 1306 MARICOPA HWY
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City | OJAI
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State | CA
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Zip | 93023-3131
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Country | US
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Telephone | 805-646-1401
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Fax |
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Provider Business Mailing Address
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Address Line | 147 N BRENT ST
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City | VENTURA
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State | CA
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Zip | 93003-2809
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Country | US
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Telephone | 805-652-5011
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Fax | 805-585-3007
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. MICHAEL ZDEBLICK
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Credential |
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Telephone | 805-652-5001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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