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RIDGECREST REGIONAL HOSPITAL NPI 1407231210


NPI Information

NPI: 1407231210
Provider Name: RIDGECREST REGIONAL HOSPITAL

Doing Business As: RRH MOBILE HEALTH CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 05D2134820

Address:
1111 N CHINA LAKE BLVD
RIDGECREST, CA
ZIP 93555
Phone: (760) 499-3855
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RIDGECREST REGIONAL HOSPITAL is a rural health clinic center in Ridgecrest, CA. RIDGECREST REGIONAL HOSPITAL NPI is 1407231210. The provider is registered as an organization entity type.
The provider Is Doing Business As Rrh Mobile Health Clinic.

The provider's business location address is:

1111 N CHINA LAKE BLVD
RIDGECREST, CA
ZIP 93555-131
Phone: (760) 499-3855
Fax: (760) 499-3870

The provider's authorized official is James A 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 05D2134820 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2015 and was last updated on 7/14/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural HealthYes

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: 4/28/2024

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