institution
Mountain Health & Community Services, Inc.
Federally Qualified Health Center (FQHC) in Pine Valley, California
NPI 1326229477

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 Pine Valley, CA. The NPI Number for Mountain Health & Community Services, Inc. is 1326229477 and holds a License No. 090000135 (California).

The current practice location address for Mountain Health & Community Services, Inc. is 3291 Buckman Springs Rd, Pine Valley, CA and can be reached out via phone at 619-473-8601 and via fax at 619-478-2267.

Location: 3291 Buckman Springs Rd, Pine Valley, CA, 91906-3133
institution
Provider Profile Details
NPI Number
1326229477
Provider Name
Mountain Health & Community Services, Inc.
Credential
Provider Entity Type
Organization
Address
3291 Buckman Springs Rd, Pine Valley, CA, 91906-3133
Phone Number
619-473-8601
Fax Number
619-478-2267
Provider Enumeration Date
11/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BCP03814F 01 CA STATE PROGRAM
FHC03814F 05 CA
HAP03814F 01 CA STATE PROGRAM
institution
Provider Business Practice Location Address Details
Address
3291 Buckman Springs Rd
City
State
Zip
91962-4003
Phone Number
619-473-8601
Fax Number
619-478-2267
person
Provider Business Mailing Address Details
Address
3291 Buckman Springs Rd
City
State
Zip
91962-4003
Phone Number
619-473-8601
Fax Number
619-478-2267
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
090000135 (California)
Definition
Definition to come...
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