Organization · Type 2 NPI

Southern Mono Healthcare District

Health Service Clinic/Center · Bishop, CA

NPI number 1497258610 Active

Practice location

168 S Main St
Bishop, CA 93514-3415

Call (760) 872-7766 Map

Mailing address

PO Box 660
Mammoth Lakes, CA 93546-0660

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	None listed

Health Service Clinic/Center: Definition to come...

NPI record

NPI: 1497258610
Entity type: Organization (Type 2)
Issued: Mar 14, 2018
Last updated: Mar 14, 2018
Status: Active
Subpart: Yes of Southern Mono Healthcare District

Other names

<unavail>
Orthopedic Clinic - Bishop · other name

Authorized official

Melanie L Van Winkle
Chief Financial Officer
(760) 924-4012

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497258610

Southern Mono Healthcare District's National Provider Identifier is 1497258610, issued on Mar 14, 2018. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Bishop, CA. The record was last updated on Mar 14, 2018.