Organization
SOUTHERN INYO HEALTHCARE DISTRICT
Active
Other names
Southern Inyo Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN F. COTTER R.N. (CEO)
(760) 876-5501
Entity
Organization
Contact information
Practice address
510 E. LOCUST, LONE PINE, CA 93545
(760) 876-1146
(760) 876-4046
Mailing address
PO BOX 1009, LONE PINE, CA 93545
(760) 876-1146
(760) 876-4046
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
240000205
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-8511
MEDICARE ID TYPE UNSPECIFIED
CA
Enumeration date
11/30/2006
Last updated
01/23/2019
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