Mammoth Hospital

LBN: Southern Mono Health Care District
Mammoth Hospital is an health care organization with primary practice located at 85 Sierra Park Rd , Mammoth Lakes CA 93546-2073. The organization recently has only one registered license in Ambulatory Health Care Facilities / Critical Access Hospital, which is considered as the primary health care specialty. Southern Mono Health Care District can be contacted via phone (760) 934-3311, or through Van Winkle, Melanie via phone (760) 934-3311.

Contact Information

Primary practice address
85 Sierra Park Rd Mammoth Lakes CA 93546-2073
Fax: (760) 924-4149
Website:
Authorized official contact:
Name: Van Winkle, Melanie

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Critical Access Hospital 261QC0050X 240000008 California

Profile Details

NPI number 1962444059
LBN Legal business name Southern Mono Health Care District
DBA Doing business as Mammoth Hospital
Authorized official Van Winkle, Melanie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 25th, 2022 - about 3 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 1962444059 NPPES
California MEDICAID HSP30638H
California MEDICAID HAP18523F
California MEDICAID RHM18523F
California MEDICAID HSP40638H

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