Mammoth Hospital

LBN: Cancer Detection Program
Mammoth Hospital is an health care organization with primary practice located at 85 Sierra Park Road , Mammoth Lakes CA 93546. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Cancer Detection Program can be contacted via phone (760) 934-3311, or through Boyd, Gary D. via phone (760) 934-3311.

Contact Information

Primary practice address
85 Sierra Park Road Mammoth Lakes CA 93546
Phone: (760) 934-3311
Fax: (760) 924-4023
Website:
Map and Directions
Authorized official contact:
Name: Boyd, Gary D.
Phone: (760) 934-3311

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 240000008 California

Profile Details

NPI number 1710131867
LBN Legal business name Cancer Detection Program
DBA Doing business as Mammoth Hospital
Authorized official Boyd, Gary D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2008
Last updated Nov 14th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710131867 NPPES
California Other HSP40638H CANCER DETECTION PROGRAM FOR CRITICAL ACCESS HOSPITAL

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