Basic Information
| Provider Information | |||||||||
| NPI: | 1306220694 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SALINA VALLEY MEMORIAL HEALTHCARE | ||||||||
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| OtherOrganizationName: | SALINAS VALLEY EMERGENCY MEDICAL GROUP | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 TECHNOLOGY LANE | ||||||||
| Address2: | APARTMENT 114 | ||||||||
| City: | PETALUMA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94954 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7208835070 | ||||||||
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| Practice Location | |||||||||
| Address1: | 450 E ROMIE LN | ||||||||
| Address2: | |||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317574333 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2015 | ||||||||
| LastUpdateDate: | 07/16/2015 | ||||||||
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| AuthorizedOfficialLastName: | RAMOS | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8312428645 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 95002660 | CA | Y | Hospitals | General Acute Care Hospital |
No ID Information.