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Contact Information

SOUTHERN MONO HEALTHCARE DISTRICT
85 SIERRA PARK RD
MAMMOTH LAKES, CA93546-2073
 Phone: 760-924-4143
 Fax: 760-924-4033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTHERN MONO HEALTHCARE DISTRICT

NPI Number 1114353323
LBN Legal business name SOUTHERN MONO HEALTHCARE DISTRICT
Authorized official GARY MYERS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2013
Last updated 01/13/2021 - About 5 years ago
Identifiers
CA License # HPE 40421
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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