Organization · Type 2 NPI
Mountain Health & Community Services, Inc.
Federally Qualified Health Center (FQHC) · Escondido, CA
NPI number
1063613263
Active
Practice location
255 N Ash St Ste 101
Escondido, CA 92027-3069
Fax (760) 745-7847
Mailing address
31115 Highway 94
Campo, CA 91906-3133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 550000560 (CA) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1063613263
Mountain Health & Community Services, Inc.'s National Provider Identifier is 1063613263, issued on May 29, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Escondido, CA. The record was last updated on Oct 5, 2011.