Mountain Empire School Clinic

LBN: Mountain Health & Community Services, Inc.
Mountain Empire School Clinic 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 Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Mountain Health & Community Services, Inc. can be contacted via phone (619) 473-8601, or through Shaplin, Judith via phone (619) 445-6200.

Contact Information

Primary practice address
3291 Buckman Springs Rd Pine Valley CA 91962-4003
Phone: (619) 473-8601
Fax: (619) 478-2267
Website:
Map and Directions
Authorized official contact:
Name: Shaplin, Judith
Phone: (619) 445-6200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 090000135 California

Profile Details

NPI number 1326229477
LBN Legal business name Mountain Health & Community Services, Inc.
DBA Doing business as Mountain Empire School Clinic
Authorized official Shaplin, Judith
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2007
Last updated May 8th, 2017 - about 7 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 1326229477 NPPES
California Other BCP03814F STATE PROGRAM
California MEDICAID FHC03814F STATE PROGRAM
California Other HAP03814F STATE PROGRAM

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