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Organization
SOUTHERN MONO HEALTH CARE DISTRICT
Active
Organization
SOUTHERN MONO HEALTH CARE DISTRICT
Active
Other names
Mammoth Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE VAN WINKLE (CHIEF FINANCIAL OFFICER)
(760) 934-3311
Entity
Organization
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 934-3311
(760) 924-4149
Mailing address
PO BOX 660, 85 SIERRA PARK RD., MAMMOTH LAKES, CA 93546
(760) 934-3311
(760) 924-4149
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
240000008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP18523F
—
CA
05
—
HSP30638H
—
CA
05
—
HSP40638H
—
CA
05
—
RHM18523F
—
CA
Enumeration date
06/12/2006
Last updated
02/25/2022
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