<Unavail>

LBN: Community Memorial Health System
<Unavail> is an health care organization with primary practice located at 4730 Telephone Rd , Ventura CA 93003-5210. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / VA. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Community Memorial Health System can be contacted via phone (805) 643-1871, or through Wilde, Gary K via phone (805) 652-5011.

Contact Information

Primary practice address
4730 Telephone Rd Ventura CA 93003-5210
Phone: (805) 643-1871
Fax: (805) 639-0786
Website:
Map and Directions
Authorized official contact:
Name: Wilde, Gary K
Phone: (805) 652-5011

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / VA 261QV0200X

Profile Details

NPI number 1063456903
LBN Legal business name Community Memorial Health System
DBA Doing business as <Unavail>
Authorized official Wilde, Gary K
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 15th, 2006
Last updated Jun 21st, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063456903 NPPES
California MEDICAID ZZT40394F

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