Provider Demographics
NPI:1902856131
Name:SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
Other - Org Name:GEORGE L. MEE MEMORIAL GREENFIELD CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-385-7160
Mailing Address - Street 1:467 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93927-4915
Mailing Address - Country:US
Mailing Address - Phone:831-674-0112
Mailing Address - Fax:831-674-4199
Practice Address - Street 1:467 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:CA
Practice Address - Zip Code:93927-4915
Practice Address - Country:US
Practice Address - Phone:831-674-0112
Practice Address - Fax:831-674-4199
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-10
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARHM18558FOtherCCAH ID#
CAZZZ13522ZOtherBS GF CLINIC PROVIDER #
CARHM18558FOtherCCAH ID#