CANCER DETECTION PROGRAM NPI 1710131867

NPI Information

NPI: 1710131867
Provider Name: CANCER DETECTION PROGRAM

Doing Business As: MAMMOTH HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
85 SIERRA PARK ROAD
MAMMOTH LAKES, CA
ZIP 93546
Phone: (760) 934-3311
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CANCER DETECTION PROGRAM is a critical access general acute care hospital in Mammoth Lakes, CA. CANCER DETECTION PROGRAM NPI is 1710131867. The provider is registered as an organization entity type.
The provider Is Doing Business As Mammoth Hospital.

The provider's business location address is:

85 SIERRA PARK ROAD
MAMMOTH LAKES, CA
ZIP 93546
Phone: (760) 934-3311
Fax: (760) 924-4023

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

The enumeration date for this NPI number is 11/14/2008 and was last updated on 11/14/2008.

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	282NC0060X	General Acute Care Hospital	Critical Access	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	HSP40638H	OTHER	CALIFORNIA	CANCER DETECTION PROGRAM FOR CRITICAL ACCESS HOSPITAL

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: 4/28/2024

NPI Synchronization or Removal

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