MOUNTAIN HEALTH & COMMUNITY SERVICES INC. NPI 1881752608

NPI Information

NPI: 1881752608
Provider Name: MOUNTAIN HEALTH & COMMUNITY SERVICES, INC.

Doing Business As: MOUNTAIN EMPIRE FAMILY MEDICINE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
31115 HIGHWAY 94
CAMPO, CA
ZIP 91906
Phone: (619) 478-5311
Get Directions

MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Campo, CA. MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. NPI is 1881752608. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain Empire Family Medicine.

The provider's business location address is:

31115 HIGHWAY 94
CAMPO, CA
ZIP 91906-133
Phone: (619) 478-5311
Fax: (619) 478-2267

The provider's authorized official is Judith Shaplin .
The authorized official title is Ceo and has the following contact phone number (619) 445-6200.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 5/8/2017.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	090000135	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	FHC03814F	MEDICAID	CALIFORNIA
2	CB2112907	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
3	BCP03814F	OTHER	CALIFORNIA	STATE PROGRAM
4	HAP03814F	OTHER	CALIFORNIA	STATE PROGRAM
5	551924	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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