MEDICARE: COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	273R00000X	Psychiatric Hospital Unit	0700000026	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05-S145	OTHER	CA	MEDICARE LEGACY NUMBER

General Provider Information

NPI Number	:	1679562169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA

Provider Business Mailing Address
First Line	:	PO BOX HH
Second Line	:	BUSINESS DEVELOPMENT & CONTRACTING
City	:	MONTEREY
State	:	CA
Zip	:	93942-6032
Country	:	US
Telephone Number	:	831-658-3977
Fax Number	:	831-658-3978

Provider Business Practice Location Address
First Line	:	23625 WR HOLMAN HWY
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-5902
Country	:	US
Telephone Number	:	831-624-5311
Fax Number	:

Authorized Official
Title or Position	:	VICE-PRESIDENT, CFO
Name	:	MATTHEW THOMAS MORGAN
Credential	:
Telephone Number	:	831-625-4965

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	06/28/2024

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Directions to “COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA ” Practice Location

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