1750384079 NPI number — SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM

Table of content: (NPI 1750384079)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750384079 NPI number — SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SALINAS VALLEY MEMORIAL HOSPITAL
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750384079
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/26/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
450 E ROMIE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALINAS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93901-4029
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
831-755-0732
Provider Business Mailing Address Fax Number:
831-754-5357

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
450 E ROMIE LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93901-4029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-755-0732
Provider Business Practice Location Address Fax Number:
831-754-5357
Provider Enumeration Date:
05/31/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WAYMAN
Authorized Official First Name:
CHARLOTTE
Authorized Official Middle Name:
K
Authorized Official Title or Position:
DIRECTOR PATIENT FINANCIAL SERVICES
Authorized Official Telephone Number:
831-759-1932

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  070000083 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HSP40334F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: HSC00334F . This is a "MEDICAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZR00334F . This is a "MEDICAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".