RIDGECREST REGIONAL HOSPITAL NPI 1225363468

NPI Information

RIDGECREST REGIONAL HOSPITAL is a hospice care community based in Ridgecrest, CA. RIDGECREST REGIONAL HOSPITAL NPI is 1225363468. The provider is registered as an organization entity type.

The provider's business location address is:

1653 TRIANGLE DR STE 200
RIDGECREST, CA
ZIP 93555-614
Phone: (760) 499-3617
Fax: (760) 499-3614

The provider's authorized official is James Ashley Suver .
The authorized official title is Ceo and has the following contact phone number (760) 499-3900.

The CLIA number assigned to this NPI record is 05D0896409 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/6/2009 and was last updated on 1/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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