Organization
MOUNTAIN HEALTH & COMMUNITY SERVICES, INC
Active
Other names
Santee Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH SHAPLIN (CEO/PRESIDENT)
(619) 445-6200
Entity
Organization
Contact information
Practice address
120 TOWN CENTER PKWY, SANTEE, CA 92071-5801
(619) 478-5254
(619) 873-3476
Mailing address
31115 HIGHWAY 94, CAMPO, CA 91906-3133
(619) 445-6200
(619) 320-3347
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550003575
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932566395
—
CA
Enumeration date
01/15/2016
Last updated
05/08/2017
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