institution
Mountain Health & Community Services, Inc.
Federally Qualified Health Center (FQHC) in Alpine, California
NPI 1255499075

Mountain Health & Community Services, Inc. is a Federally Qualified Health Center (FQHC) based in Campo, CA and is specialized in Federally Qualified Health Center (FQHC). Mountain Health & Community Services, Inc. practices in Alpine, CA. The NPI Number for Mountain Health & Community Services, Inc. is 1255499075 and holds a License No. 090000681 (California).

The current practice location address for Mountain Health & Community Services, Inc. is 1620 Alpine Blvd Ste 110, Alpine, CA and can be reached out via phone at 619-445-6200 and via fax at 619-320-3343.

Location: 1620 Alpine Blvd Ste 110, Alpine, CA, 91906-3133
institution
Provider Profile Details
NPI Number
1255499075
Provider Name
Mountain Health & Community Services, Inc.
Credential
Provider Entity Type
Organization
Address
1620 Alpine Blvd Ste 110, Alpine, CA, 91906-3133
Phone Number
619-445-6200
Fax Number
619-320-3343
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC71082F 05 CA
BCP71082F 01 CA STATE PROGRAM
HAP71082F 01 CA STATE PROGRAM
institution
Provider Business Practice Location Address Details
Address
1620 Alpine Blvd Ste 110
City
State
Zip
91901-1103
Phone Number
619-445-6200
Fax Number
619-320-3343
person
Provider Business Mailing Address Details
Address
1620 Alpine Blvd Ste 110
City
State
Zip
91901-1103
Phone Number
619-445-6200
Fax Number
619-320-3343
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
090000681 (California)
Definition
Definition to come...
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