institution
Mountain Health & Community Services, Inc.
Federally Qualified Health Center (FQHC) in San Diego, California
NPI 1861603151

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 San Diego, CA. The NPI Number for Mountain Health & Community Services, Inc. is 1861603151 and holds a License No. 550000543 (California).

The current practice location address for Mountain Health & Community Services, Inc. is 316 25Th St, San Diego, CA and can be reached out via phone at 619-238-5551 and via fax at 619-238-3807.

Location: 316 25Th St, San Diego, CA, 91906-3133
institution
Provider Profile Details
NPI Number
1861603151
Provider Name
Mountain Health & Community Services, Inc.
Credential
Provider Entity Type
Organization
Address
316 25Th St, San Diego, CA, 91906-3133
Phone Number
619-238-5551
Fax Number
619-238-3807
Provider Enumeration Date
05/25/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
BCP71185F 01 CA STATE PROGRAM
FHC71185F 05 CA
HAP71185F 01 CA STATE PROGRAM
institution
Provider Business Practice Location Address Details
Address
316 25Th St
City
State
Zip
92102-3016
Phone Number
619-238-5551
Fax Number
619-238-3807
person
Provider Business Mailing Address Details
Address
316 25Th St
City
State
Zip
92102-3016
Phone Number
619-238-5551
Fax Number
619-238-3807
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
550000543 (California)
Definition
Definition to come...
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