Organization Name: | SOUTHERN MONO HEALTHCARE DISTRICT |
NPI Number: | 1053456400 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELANIE VAN WINKLE (CHIEF FINANCIAL OFFI) |
Mailing Address: | 85 Sierra Park Rd Mammoth Lakes |
State: | CA US |
Postal Code: | 935460660 |
Phone Number: | 7609343311 |
Fax Number: | 7609244023 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 240000008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |