| Organization Name: | PAJARO VALLEY COMMUNITY HEALTH TRUST |
| NPI Number: | 1134388093 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIELLE LAUREN COOK (DIETITIAN) |
| Mailing Address: | 85 Nielson St Ste 201 Watsonville |
| State: | CA US |
| Postal Code: | 950762485 |
| Phone Number: | 8317636445 |
| Fax Number: | 8317240877 |
| NPI Enumeration Date: | 06/05/2008 |
| NPI Last Update Date: | 06/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 1447327804 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |