SOUTHERN MONO HEALTH CARE DISTRICT NPI 1700117462

NPI Information

SOUTHERN MONO HEALTH CARE DISTRICT is a critical access general acute care hospital in Mammoth Lakes, CA. SOUTHERN MONO HEALTH CARE DISTRICT NPI is 1700117462. The provider is registered as an organization entity type.
The provider Is Doing Business As Mammoth Hospital Physician Group.

The provider's business location address is:

85 SIERRA PARK ROAD
MAMMOTH LAKES, CA
ZIP 93546-660
Phone: (760) 872-6749
Fax: (760) 872-6790

The provider's authorized official is Gary Boyd .
The authorized official title is Chief Executive Officer and has the following contact phone number (760) 934-3311.

The enumeration date for this NPI number is 1/20/2010 and was last updated on 1/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.