Mountain Health & Community Services, Inc. in Campo - Federally Qualified Health Center (fqhc)
Mountain Health & Community Services, Inc. - NPI 1255499075
Mountain Health & Community Services, Inc. is a Federally Qualified Health Center (fqhc) in Campo, California. Mountain Health & Community Services, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Mountain Health & Community Services, Inc. is 1255499075. The last update date is 2017-05-08.
Mountain Health & Community Services, Inc.'s current location address is 31115 Highway 94, Campo, California. You can contact this provider via phone number 6194785254 and fax number 6194789164. The mailing address for Mountain Health & Community Services, Inc. is 31115 Highway 94, Campo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Health & Community Services, Inc. |
|---|---|
| Address | 31115 Highway 94, Campo, California |
| Phone Number | 6194785254 |
| Fax Number | 6194789164 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Shaplin Judith |
| Telephone Number | 6194456200 |
NPI Number Detail
| NPI Number | 1255499075 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2017-05-08 |
Provider Mailing Address Detail
| Address | 31115 Highway 94 |
|---|---|
| City | Campo |
| State | California (CA) |
| Post Code | 919063133 |
| Phone Number | 6194785254 |
| Fax Number | 6194789164 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 90000681 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC71082F | CA | -- | |
| BCP71082F | CA | STATE PROGRAM | |
| HAP71082F | CA | STATE PROGRAM |
Post Comment/ Review Below
What is the Mountain Health & Community Services, Inc.'s unique identification number?
The Mountain Health & Community Services, Inc. has been assigned the NPI (National Provider Identifier) Number 1255499075 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mountain Health & Community Services, Inc.'s physical address?
The Mountain Health & Community Services, Inc. is physically located at 31115 Highway 94, in the city of Campo, CA, with the postal code 919063133.
What is the area of specialization for Mountain Health & Community Services, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mountain Health & Community Services, Inc. is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255499075 to Mountain Health & Community Services, Inc.?
The Mountain Health & Community Services, Inc. received its 1255499075 assignment from the Centers for Medicare & Medicaid Services on 2006-12-05.
When was the Mountain Health & Community Services, Inc.'s information last updated?
The Mountain Health & Community Services, Inc.'s information was last updated on 2017-05-08.