# PINE MOUNTAIN NURSING HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pine Mountain Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285056994
- **Authorized official:** MRS. SHARON M POWELL FNP-C (OWNER)
- **Authorized official phone:** (661) 242-2592

## Contact information

- **Practice address:** 770 10TH ST, ARCATA, CA 95521-6210
- **Practice address phone:** (707) 826-8633
- **Mailing address:** 16233 ASKIN DR., SUITE A, FRAZIER PARK, CA 93222-6536
- **Mailing address phone:** (661) 242-2592
- **Mailing address fax:** (661) 262-7031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | C3624118 | CA | Yes |

## Other

- **Enumeration date:** 01/15/2014
- **Last updated:** 12/03/2019