Mammoth Hospital Physician Group

LBN: Southern Mono Health Care District
Mammoth Hospital Physician Group is an health care organization with primary practice located at 85 Sierra Park Road , Mammoth Lakes CA 93546-0660. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Critical Access, Hospitals / Rural. Hospitals / Critical Access is the primary health care specialty. Southern Mono Health Care District can be contacted via phone (760) 872-6749, or through Boyd, Gary via phone (760) 934-3311.

Contact Information

Primary practice address
85 Sierra Park Road Mammoth Lakes CA 93546-0660
Phone: (760) 872-6749
Fax: (760) 872-6790
Website:
Map and Directions
Authorized official contact:
Name: Boyd, Gary
Phone: (760) 934-3311

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 240000008 California
Hospitals / Rural 282NR1301X 240000008 California

Profile Details

NPI number 1700117462
LBN Legal business name Southern Mono Health Care District
DBA Doing business as Mammoth Hospital Physician Group
Authorized official Boyd, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2010
Last updated Jan 20th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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