Mountain Health & Community Services, Inc. in Campo - Federally Qualified Health Center (fqhc)
Mountain Health & Community Services, Inc. - NPI 1326229477
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 1326229477. 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 | 1326229477 |
|---|---|
| Provider Enumeration Date | 2007-11-16 |
| 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 | 90000135 |
|
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 |
|---|---|---|---|
| BCP03814F | CA | STATE PROGRAM | |
| FHC03814F | CA | -- | |
| HAP03814F | CA | STATE PROGRAM |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mountain Health & Community Services, Inc.?
The Mountain Health & Community Services, Inc. has been issued the NPI (National Provider Identifier) 1326229477 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Mountain Health & Community Services, Inc. is geographically located?
The Mountain Health & Community Services, Inc. is physically situated at the following location: 31115 Highway 94, Campo, CA, 919063133.
What is Mountain Health & Community Services, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Mountain Health & Community Services, Inc.'s area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Mountain Health & Community Services, Inc. receive its 1326229477 assignment from the Centers for Medicare & Medicaid Services?
The Mountain Health & Community Services, Inc. was assigned its 1326229477 by the Centers for Medicare & Medicaid Services on 2007-11-16.
As of what date was the information pertaining to Mountain Health & Community Services, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mountain Health & Community Services, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-05-08.
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