Basic Information
| Provider Information | |||||||||
| NPI: | 1598754491 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | WESTLAND HOUSE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX HH | ||||||||
| Address2: | BUSINESS DEVELOPMENT & CONTRACTING | ||||||||
| City: | MONTEREY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939426032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8316583977 | ||||||||
| FaxNumber: | 8316583978 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 BARNET SEGAL LN | ||||||||
| Address2: | |||||||||
| City: | MONTEREY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939407000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8316583737 | ||||||||
| FaxNumber: | 8316583978 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/14/2005 | ||||||||
| LastUpdateDate: | 04/15/2015 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | ZEHM | ||||||||
| AuthorizedOfficialFirstName: | LAURA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT/CFO | ||||||||
| AuthorizedOfficialTelephone: | 8316254501 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 0700000154 | CA | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.