| Organization Name: | COMMUNITY MEMORIAL HEALTH SYSTEM |
| NPI Number: | 1427084862 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY WILDE (CEO) |
| Mailing Address: | 852 W Ventura St Fillmore |
| State: | CA US |
| Postal Code: | 930151837 |
| Phone Number: | 8055242672 |
| Fax Number: | 8055243953 |
| NPI Enumeration Date: | 06/25/2006 |
| NPI Last Update Date: | 08/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |