COMMUNITY MEMORIAL HEALTH SYSTEM NPI 1740228345

NPI Information

NPI: 1740228345
Provider Name: COMMUNITY MEMORIAL HEALTH SYSTEM

Other Name: CMH CENTERS FOR FAMILY HEALTH

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2921 SAVIERS RD
OXNARD, CA
ZIP 93033
Phone: (805) 487-5588
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COMMUNITY MEMORIAL HEALTH SYSTEM is a multi-specialty clinic center in Oxnard, CA. COMMUNITY MEMORIAL HEALTH SYSTEM NPI is 1740228345. The provider is registered as an organization entity type.
The provider Other Name Is Cmh Centers For Family Health.

The provider's business location address is:

2921 SAVIERS RD
OXNARD, CA
ZIP 93033-314
Phone: (805) 487-5588
Fax: (805) 487-5589

The provider's authorized official is Gary K. Wilde .
The authorized official title is Ceo and has the following contact phone number (805) 652-5011.

The CLIA number assigned to this NPI record is 05D0943561 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/4/2006 and was last updated on 6/21/2018.

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
1	261QU0200X	Clinic/Center	Urgent Care			No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	CALIFORNIA	TAX IDENTIFICATION NUMBER
2	ZZT40394F	MEDICAID	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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