NPIMap

Organization Active NPI

Southern Monterey County Memorial Hospital

Doing business as George L. Mee Memorial Greenfield Clinic

  • Rural Health Clinic/Center
  • Greenfield, CA
National Provider Identifier
1902856131
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
Doing business as
George L. Mee Memorial Greenfield Clinic
Practice address
467 El Camino Real
Greenfield, CA 93927-4915
Phone
(831) 674-0112
Fax
(831) 674-4199
NPI assigned
May 10, 2006
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Susan Childers
Title
Cfo
Phone
(831) 385-7160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

467 El Camino Real
Greenfield, CA 93927-4915

Mailing address

467 El Camino Real
Greenfield, CA 93927-4915
Phone (831) 674-0112

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ13522ZOtherCABS GF CLINIC PROVIDER #
RHM18558FOtherCACCAH ID#

Other names 1

  • George L. Mee Memorial Greenfield Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070315000507 CA Part A Provider - Rural Health Clinic 7719883461 Practice locations: Greenfield, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902856131. Details of each certification follow.

Rural health clinic certification: CCN 058558

Legal name
SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
Doing business as
G L MEE MEMORIAL HOSPITAL MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 19, 1997
Last certification
Dec 9, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Mar 10, 1959 in CA
Enrollment address
467 El Camino Real
Greenfield, CA 93927-4915
Related CCNs
050189

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0936384Mee Memorial Hospital Medical Clinic467 El Camino Real, Greenfield, CA 93927Certificate of waiverApr 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
GL Mee Memorial Hosp Spec26 organizations share this tax ID, including this one
Part of
GL Mee Memorial Hosp Spec

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Roger Borzini Individual Corporate DirectorSecretary/Treasuer of the Board Jan 1, 2008 16.67%
Emily Emery-Shea Individual Corporate OfficerCfo Jun 2, 2025 16.67%
Corporate Director Jun 2, 2025 16.67%
W-2 Managing Employee Jun 2, 2025
Rena Salamacha Individual Corporate OfficerCeo Nov 15, 2019 16.67%
W-2 Managing EmployeeCeo Nov 15, 2019 16.67%
Gilbert E Flores Individual Corporate OfficerChief of Staff Feb 18, 2025 16.67%
Corporate Director Feb 18, 2025
James Ewart Individual Corporate DirectorVice-Chairman of the Board Sep 1, 2016 16.67%
Michael Howard Individual Corporate DirectorChairman of the Board May 1, 2017 16.67%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mee Memorial Children's Health and Wellness CenterKing City, CA, CCN 058732 Rural health clinic Operational/Managerial Control Jan 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1902856131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 EL CAMINO REAL",
            "city": "GREENFIELD",
            "state": "CA",
            "postal_code": "939274915",
            "telephone_number": "831-674-0112",
            "fax_number": "831-674-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 EL CAMINO REAL",
            "city": "GREENFIELD",
            "state": "CA",
            "postal_code": "939274915",
            "telephone_number": "831-674-0112",
            "fax_number": "831-674-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "831-385-7160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS GF CLINIC PROVIDER #",
            "identifier": "ZZZ13522Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCAH ID#",
            "identifier": "RHM18558F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George L. Mee Memorial Greenfield Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, CA

Sources for this page

Verify at the official NPI Registry.