Mountain Empire Usd

LBN: Mountain Empire Usd
Mountain Empire Usd is an health care organization with primary practice located at 3291 Buckman Springs Rd , Pine Valley CA 91962-4003. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Mountain Empire Usd can be contacted via phone (619) 473-9022, or through Judd, Patrick via phone (619) 473-9022.

Contact Information

Primary practice address
3291 Buckman Springs Rd Pine Valley CA 91962-4003
Phone: (619) 473-9022
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Judd, Patrick
Phone: (619) 473-9022

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1962686006
LBN Legal business name Mountain Empire Usd
DBA Doing business as
Authorized official Judd, Patrick
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2007
Last updated Dec 26th, 2007 - 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 1962686006 NPPES
Other SS3768213 MEDI-CAL

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