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NPI 1053456400

OrganizationActive

Southern Mono Health Care District

NPI 1053456400 · Rural Acute Care Hospital · Mammoth Lakes, CA

Provider details

NPI number: 1053456400
Entity type: Organization
Primary specialty: Rural Acute Care HospitalHospitals
Organization subpart: No
Authorized official: Melanie Van Winkle, Chief Financial Offi(760) 934-3311
License: 240000008 (CA)

Specialties & taxonomies

Rural Acute Care HospitalPrimary282NR1301XLicense 240000008 (CA)
Hospitals

Practice location

85 Sierra Park Rd

Mammoth Lakes, CA 93546-0660

Phone: (760) 934-3311

Fax: (760) 924-4023

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

Po Box 660

Mammoth Lakes, CA 93546-0660

Other names (DBA / former)

Doing business as: Rural Health Clinic Mammoth Hospital
Doing business as: Rural Health Clinic Mammoth Hospital

Registry dates

Enumerated: 2007-02-21
Last updated: 2025-09-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Southern Mono Health Care District — NPI 1053456400, Mammoth Lakes, CA | NPI Central