Mountain Health & Community Services, Inc. in Campo - Federally Qualified Health Center (fqhc)
Mountain Health & Community Services, Inc. - NPI 1861603151
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 1861603151. 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 | 1861603151 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| 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 | 550000543 |
|
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 |
|---|---|---|---|
| BCP71185F | CA | STATE PROGRAM | |
| FHC71185F | CA | -- | |
| HAP71185F | CA | STATE PROGRAM |
Post Comment/ Review Below
What is the unique identifier code issued to Mountain Health & Community Services, Inc. by the Centers for Medicare & Medicaid Services?
The Mountain Health & Community Services, Inc. has been assigned the NPI (National Provider Identifier) 1861603151. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mountain Health & Community Services, Inc. located?
The Mountain Health & Community Services, Inc. is located at 31115 Highway 94, Campo, CA 919063133.
What is Mountain Health & Community Services, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mountain Health & Community Services, Inc.'s specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1861603151 to Mountain Health & Community Services, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1861603151 to Mountain Health & Community Services, Inc. on 2007-05-25.
When was the information regarding Mountain Health & Community Services, Inc. most recently updated?
The details pertaining to the Mountain Health & Community Services, Inc., including its address, specialty, and other relevant information, were last refreshed on 2017-05-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY