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SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL NPI 1336389600


NPI Information

NPI: 1336389600
Provider Name: SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL

Doing Business As: BROADWAY MEDICAL CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
809 BROADWAY ST
STE. D
KING CITY, CA
ZIP 93930
Phone: (831) 386-7437
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SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL is a clinic center in King City, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL NPI is 1336389600. The provider is registered as an organization entity type.
The provider Is Doing Business As Broadway Medical Clinic.

The provider's business location address is:

809 BROADWAY ST
STE. D
KING CITY, CA
ZIP 93930-303
Phone: (831) 386-7437
Fax: (831) 385-7188

The provider's authorized official is Rena Salamacha .
The authorized official title is Chief Executive Officer and has the following contact phone number (831) 385-7284.

The enumeration date for this NPI number is 2/26/2009 and was last updated on 10/18/2022.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthCALIFORNIANo
2261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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