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Cancer Detection Program
Rural Acute Care Hospital in Mammoth Lakes, California
NPI 1356595409

Cancer Detection Program is a Rural Acute Care Hospital based in Mammoth Lakes, CA and is specialized in Rural. Cancer Detection Program practices in Mammoth Lakes, CA. The NPI Number for Cancer Detection Program is 1356595409 and holds a License No. (California).

The current practice location address for Cancer Detection Program is 85 Sierra Park Road, Mammoth Lakes, CA and can be reached out via phone at 760-934-3311 and via fax at 760-924-4023.

Location: 85 Sierra Park Road, Mammoth Lakes, CA, 93546-0100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356595409
Provider Name
Cancer Detection Program
Credential
Provider Entity Type
Organization
Address
85 Sierra Park Road, Mammoth Lakes, CA, 93546-0100
Phone Number
760-934-3311
Fax Number
760-924-4023
Provider Enumeration Date
11/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RHM18523F 01 CA RURAL HEALTH IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
85 Sierra Park Road
City
Mammoth Lakes
State
California
Zip
93546
Phone Number
760-934-3311
Fax Number
760-924-4023
person
Provider Business Mailing Address Details
Address
85 Sierra Park Road
City
Mammoth Lakes
State
California
Zip
93546
Phone Number
760-934-3311
Fax Number
760-924-4023
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Critical Access
Taxonomy
282NC0060X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Rural
Taxonomy
282NR1301X
License No.
()
Definition
Definition to come...
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