institution
Mountain Health & Community Services, Inc.
Federally Qualified Health Center (FQHC) in Jacumba, California
NPI 1740358258

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 Jacumba, CA. The NPI Number for Mountain Health & Community Services, Inc. is 1740358258 and holds a License No. 090000511 (California).

The current practice location address for Mountain Health & Community Services, Inc. is 44460 Old Hwy 80, Jacumba, CA and can be reached out via phone at 619-766-4071 and via fax at 619-766-4128.

Location: 44460 Old Hwy 80, Jacumba, CA, 91906-3133
institution
Provider Profile Details
NPI Number
1740358258
Provider Name
Mountain Health & Community Services, Inc.
Credential
Provider Entity Type
Organization
Address
44460 Old Hwy 80, Jacumba, CA, 91906-3133
Phone Number
619-766-4071
Fax Number
619-766-4128
Provider Enumeration Date
12/01/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC53850F 05 CA
HAP53850F 01 CA STATE PROGRAM
BCP53850F 01 CA STATE PROGRAM
institution
Provider Business Practice Location Address Details
Address
44460 Old Hwy 80
City
State
Zip
91934
Phone Number
619-766-4071
Fax Number
619-766-4128
person
Provider Business Mailing Address Details
Address
44460 Old Hwy 80
City
State
Zip
91934
Phone Number
619-766-4071
Fax Number
619-766-4128
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
090000511 (California)
Definition
Definition to come...
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