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Organization
SOUTHERN MONO HEALTH CARE DISTRICT
Active
Organization
SOUTHERN MONO HEALTH CARE DISTRICT
Active
Other names
Bridgeport Family Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE VAN WINKLE (CHIEF FINANCIAL OFFI)
(760) 934-3311
Entity
Organization
Contact information
Practice address
221 TWIN LAKES ROAD, BRIDGEPORT, CA 93517
(760) 932-7011
(760) 932-7180
Mailing address
PO BOX 660, MAMMOTH LAKES, CA 93546-0660
(760) 934-3311
(760) 924-4023
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
240000008
CA
Other
Enumeration date
01/16/2007
Last updated
03/04/2013
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