| Organization Name: | MONO COUNTY PUBLIC HEALTH |
| NPI Number: | 1487770459 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM BUNN (ADMINISTRATIVE SUPERVISOR) |
| Mailing Address: | 437 Old Mammoth Road Suite Q Mammoth Lakes |
| State: | CA US |
| Postal Code: | 935463329 |
| Phone Number: | 7609241830 |
| Fax Number: | 7609241831 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 05/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |