Provider Demographics
NPI:1346232881
Name:AHMC GREATER EL MONTE COMMUNITY
Entity Type:Organization
Organization Name:AHMC GREATER EL MONTE COMMUNITY
Other - Org Name:AHMC GREATER EL MONTE COMMUNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VICE-PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-705-0972
Mailing Address - Street 1:1701 SANTA ANITA AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-3482
Mailing Address - Country:US
Mailing Address - Phone:626-579-7777
Mailing Address - Fax:
Practice Address - Street 1:1701 SANTA ANITA AVE
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-3482
Practice Address - Country:US
Practice Address - Phone:626-579-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-19
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA930000063282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHSP40615IMedicaid
CAHSC30615IMedicaid
CALTC70127GMedicaid
CA050738Medicare Oscar/Certification
CALTC70127GMedicaid