# MOUNTAIN OAK HEALTH CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013220052
- **Authorized official:** MS. JOSIE MARTINEZ ORNUM NURSE PRACTITIONER (DIRECTOR)
- **Authorized official phone:** (209) 890-8660

## Contact information

- **Practice address:** 556 MOUNTAIN RANCH ROAD, SAN ANDREAS, CA 95249-0536
- **Practice address phone:** (209) 498-2014
- **Practice address fax:** (209) 498-2143
- **Mailing address:** PO BOX 536, SAN ANDREAS, CA 95249-0536
- **Mailing address phone:** (209) 498-2014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/20/2010
- **Last updated:** 12/13/2010