Organization
SOUTHERN MONO HEALTHCARE DISTRICT
Active
Other names
Mammoth Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
GARY MYERS (CEO)
(760) 924-4010
Entity
Organization
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 924-4143
(760) 924-4033
Mailing address
PO BOX 660, MAMMOTH LAKES, CA 93546-0660
(760) 924-4143
(760) 924-4033
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HPE 40421
CA
Other
Enumeration date
09/19/2013
Last updated
01/13/2021
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