# PINE MOUNTAIN NURSING HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PINE MOUNTAIN HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144644998
- **Authorized official:** SHARON POWELL NP (CEO)
- **Authorized official phone:** (661) 242-7220

## Contact information

- **Practice address:** 16233 ASKIN DR, SUITE A, FRAZIER PARK, CA 93222-6536
- **Practice address phone:** (661) 242-7220
- **Mailing address:** 16233 ASKIN DRIVE, SUITE A, PINE MOUNTAIN CLUB, CA 93222-6536
- **Mailing address phone:** (661) 242-7220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | NP14217 | CA | Yes |

## Other

- **Enumeration date:** 02/14/2014
- **Last updated:** 02/14/2014