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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