Provider Demographics
NPI:1205863255
Name:COUNTY OF MONTEREY
Entity Type:Organization
Organization Name:COUNTY OF MONTEREY
Other - Org Name:NATIVIDAD MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-783-2561
Mailing Address - Street 1:PO BOX 80007
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93912-0007
Mailing Address - Country:US
Mailing Address - Phone:831-755-4111
Mailing Address - Fax:831-755-4087
Practice Address - Street 1:1441 CONSTITUTION BLVD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3100
Practice Address - Country:US
Practice Address - Phone:831-755-4111
Practice Address - Fax:831-755-4087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHSC00248WMedicaid
CAZZZ12701ZOtherBLUE SHIELD
CAGR0076460OtherMEDI-CAL IP
CAHSP40248FMedicaid
CAZZZ93632ZOtherBLUE SHIELD PHYSICIAN
CAZZR00248WMedicaid
CAZZR00248WMedicaid
CAZZZ93632ZOtherBLUE SHIELD PHYSICIAN
CAHSC00248WMedicaid