Organization
PINE MOUNTAIN NURSING HEALTH CENTER, INC.
Active
Organization
PINE MOUNTAIN NURSING HEALTH CENTER, INC.
Active
Other names
Pine Mountain Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON M POWELL FNP-C (OWNER)
(661) 242-2592
Entity
Organization
Contact information
Practice address
770 10TH ST, ARCATA, CA 95521-6210
(707) 826-8633
Mailing address
16233 ASKIN DR., SUITE A, FRAZIER PARK, CA 93222-6536
(661) 242-2592
(661) 262-7031
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
C3624118
CA
Other
Enumeration date
01/15/2014
Last updated
12/03/2019
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