| Organization Name: | CANCER DETECTION PROGRAM |
| NPI Number: | 1710131867 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY D. BOYD (CEO) |
| Mailing Address: | 85 Sierra Park Road Mammoth Lakes |
| State: | CA US |
| Postal Code: | 93546 |
| Phone Number: | 7609343311 |
| Fax Number: | 7609244023 |
| NPI Enumeration Date: | 11/14/2008 |
| NPI Last Update Date: | 11/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 240000008 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |