| Organization Name: | MOJAVE RURAL HEALTH CLINIC |
| NPI Number: | 1508175431 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EVAN J RAYNER (CEO) |
| Mailing Address: | 2041 Belshaw Street Mojave |
| State: | CA US |
| Postal Code: | 93501 |
| Phone Number: | 6618237070 |
| Fax Number: | 6618230235 |
| NPI Enumeration Date: | 09/27/2010 |
| NPI Last Update Date: | 01/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 120000188 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |