SOUTHERN MONO HEALTH CARE DISTRICT NPI 1821149816

NPI Information

NPI: 1821149816
Provider Name: SOUTHERN MONO HEALTH CARE DISTRICT

Doing Business As: BRIDGEPORT FAMILY MEDICINE CLINIC

Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

Address:
221 TWIN LAKES ROAD
BRIDGEPORT, CA
ZIP 93517
Phone: (760) 932-7011
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SOUTHERN MONO HEALTH CARE DISTRICT is a rural general acute care hospital in Bridgeport, CA. SOUTHERN MONO HEALTH CARE DISTRICT NPI is 1821149816. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridgeport Family Medicine Clinic.

The provider's business location address is:

221 TWIN LAKES ROAD
BRIDGEPORT, CA
ZIP 93517
Phone: (760) 932-7011
Fax: (760) 932-7180

The provider's authorized official is Melanie Van Winkle .
The authorized official title is Chief Financial Offi and has the following contact phone number (760) 934-3311.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 3/4/2013.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NR1301X	General Acute Care Hospital	Rural	240000008	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	058640	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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