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Contact Information

COUNTY OF MONO
199 TWIN LAKES ROAD
BRIDGEPORT, CA93517
 Phone: 760-932-5485
 Fax: 760-932-2603
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for COUNTY OF MONO

NPI # 1730205949
LBN Legal business name COUNTY OF MONO
Authorized official BRYAN BULLOCK - (CHIEF)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/21/2007
Last updated 01/25/2024 - About 2 years ago
Identifiers
CA Medicaid ZZZ71292Z
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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