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Southern Mono Health Care District — NPI 1700117462, Mammoth Lakes, CA | NPI Central

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NPI 1700117462

OrganizationActive

Southern Mono Health Care District

NPI 1700117462 · Critical Access Hospital · Mammoth Lakes, CA

Provider details

NPI number: 1700117462
Entity type: Organization
Primary specialty: Critical Access HospitalHospitals
Organization subpart: No
Authorized official: Gary Boyd, Chief Executive Officer(760) 934-3311
License: 240000008 (CA)

Specialties & taxonomies

Critical Access HospitalPrimary282NC0060XLicense 240000008 (CA)
Hospitals
Rural Acute Care Hospital282NR1301XLicense 240000008 (CA)
Hospitals

Practice location

85 Sierra Park Road

Mammoth Lakes, CA 93546-0660

Phone: (760) 872-6749

Fax: (760) 872-6790

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: Mammoth Hospital Physician Group

Registry dates

Enumerated: 2010-01-20
Last updated: 2010-01-20

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