OrganizationActive
Southern Mono Healthcare District
NPI 1114353323 · Institutional Pharmacy · Mammoth Lakes, CA
Provider details
- NPI number
- 1114353323
- Entity type
- Organization
- Primary specialty
- Institutional PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gary Myers, Ceo(760) 924-4010
- License
- HPE 40421 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Phone: (760) 924-4143
Fax: (760) 924-4033
Street-level locationGet directions
Mailing address
Po Box 660
Mammoth Lakes, CA 93546-0660
Other names (DBA / former)
- Other name
- Mammoth Hospital
Registry dates
- Enumerated
- 2013-09-19
- Last updated
- 2021-01-13
- Certified
- 2021-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.