Provider Demographics
NPI:1710287339
Name:PACIFIC GROVE HYPERBARIC CHAMBER
Entity Type:Organization
Organization Name:PACIFIC GROVE HYPERBARIC CHAMBER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CITY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LUKE
Authorized Official - Last Name:BECKLENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-648-3170
Mailing Address - Street 1:300 FOREST AVENUE
Mailing Address - Street 2:ATTN: CATHY KRYSYNA
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950
Mailing Address - Country:US
Mailing Address - Phone:831-648-3102
Mailing Address - Fax:831-375-9863
Practice Address - Street 1:600 PINE AVE
Practice Address - Street 2:ATTN: HYPERBARIC CHAMBER
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950-3317
Practice Address - Country:US
Practice Address - Phone:831-236-6094
Practice Address - Fax:831-648-3107
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF PACIFIC GROVE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable