Organization
SOUTHERN MONO HEALTH CARE DISTRICT
Active
Other names
Mammoth Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE VAN WINKLE (CHIEF FINANCIAL OFFICER)
(760) 934-3311
Entity
Organization
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 934-3311
(760) 924-4149
Mailing address
PO BOX 660, 85 SIERRA PARK RD., MAMMOTH LAKES, CA 93546
(760) 934-3311
(760) 924-4149
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
240000008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP18523F
—
CA
05
—
HSP30638H
—
CA
05
—
HSP40638H
—
CA
05
—
RHM18523F
—
CA
Enumeration date
06/12/2006
Last updated
02/25/2022
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