COMMUNITY MEMORIAL HOSPITAL (NPI# 1992906523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992906523 |
Entity Type | Organization |
Organization Name | COMMUNITY MEMORIAL HOSPITAL |
Other Organization Name | COMMUNITY MEMORIAL HOSPITAL |
Practice Address |
147 N Brent St Ventura CA 93003-2809 |
Practice Telephone | 8056525011 |
Mailing Telephone | 8056525011 |
Enumeration Date | 2007-05-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MARISOL R JAMERSON (MEDI-CAL SPECIALIST) |
Authorized Official Telephone | 8056525464 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | A86439 | CA | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LIC NUMBER | A86439 | 01 |
Other Name | Type Code |
---|---|
COMMUNITY MEMORIAL HOSPITAL | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336632280 | Community Memorial Hospital | Clinic/Center | 104 S. West Street, Edgerton, OH 43517 | 2018-06-14 |
1528208162 | Community Memorial Hospital | Family Medicine | 100 West 4th St, Montrose, MO 64770 | 2009-02-23 |
1689842478 | Community Memorial Hospital | Clinic/Center | 122 2nd St. East, Mcclusky, ND 58463-0618 | 2008-02-14 |
1598945867 | Community Memorial Hospital | Clinic/Center | 101 Giesler Dr, Osceola, MO 64776-6297 | 2007-11-05 |
1730145392 | Community Memorial Hospital | Clinic/Center | 208 Columbus Street, Hicksville, OH 43526 | 2006-04-24 |
1336103738 | Community Memorial Hospital | General Acute Care Hospital | 1755 N Mecklenburg Avenue, South Hill, VA 23970-1431 | 2006-04-13 |
1780150110 | Community Memorial Hospital | Clinic/Center | 107 Buffalo St, Antwerp, OH 45813-8434 | 2018-10-24 |
1164915021 | Community Memorial Hospital | Clinic/Center | 208 Columbus St, Hicksville, OH 43526-1250 | 2018-06-14 |
1891288866 | Community Memorial Hospital | Clinic/Center | 422 W River St, Antwerp, OH 45813-8417 | 2018-06-13 |
1609303692 | Community Memorial Hospital | Family Medicine | 164 Broad St, Hamilton, NY 13346-9575 | 2017-05-22 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL | 809 Jackson St, Burke, SD 57523-2065 |
Virginia Business Entities | Community Memorial Hospital | 1755 N Mecklenburg Ave, P. O. Box 90, South Hill, Virginia 23970-4080 |
System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION | 400 Caldwell St, Staunton, IL 62088-1173 |
Virginia Business Entities | Community Memorial Hospital Foundation | 1755 N Mecklenburg Ave, South Hill, Virginia 23970-4080 |
New York State Corporations | COMMUNITY MEMORIAL HOSPITAL FOUNDATION, INC. | 150 Broad St., Hamilton, Ny 13346 |
System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL, INC. | 2731 Healthcare Dr, Syracuse, NE 68446-7880 |
System for Award Management (SAM) Entities | COMMUNITY MEMORIAL HOSPITAL, INCORPORATED | 800 Memorial Dr Ste 1, Spring Valley, MN 55975-1055 |
Street Address |
147 N BRENT ST |
City | VENTURA |
State | CA |
Zip Code | 93003-2809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265426969 | Erwin B. Clahassey M.d., A Professional Corporation | Pathology | 147 N Brent St, Ventura, CA 93003-2809 | 2005-09-08 |
1114543998 | Melissa Lynn Russell | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-06-17 |
1801419858 | John Ngo | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-05-26 |
1861015000 | Seyed Nasrollah Hosseini Navid | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-05-22 |
1932721511 | Jonathan S. Rapps | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-05-18 |
1891317954 | Alexander Horwitz | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2854 | 2020-05-12 |
1821619529 | Nataliya Panivska | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-05-04 |
1841811213 | Frederic John-edward Washburn | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2854 | 2020-04-27 |
1457971848 | Harman Virk | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-04-26 |
1770103178 | Varsha Prasad | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2854 | 2020-04-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417999137 | Ventura County Medical Center | General Acute Care Hospital | 300 Hillmont Ave, Ventura, CA 93003-1651 | 2006-06-11 |
1851729149 | Marc Reinoso, M.d. Inc | General Acute Care Hospital | 147 N Brent St, Ventura, CA 93003-2809 | 2013-10-23 |
1972631026 | Community Memorial Health System | General Acute Care Hospital | 147 N Brent St, Ventura, CA 93003-2809 | 2007-03-01 |
1215903018 | Community Memorial Health System | General Acute Care Hospital | 147 N Brent St, Ventura, CA 93003-2809 | 2006-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.