Organization · Type 2 NPI
Mountain Health & Community Services, Inc.
Federally Qualified Health Center (FQHC) · Jacumba, CA
NPI number
1740358258
Active
Practice location
44460 Old Hwy 80
Jacumba, CA 91934
Fax (619) 766-4128
Mailing address
31115 Highway 94
Campo, CA 91906-3133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 090000511 (CA) |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1740358258
Mountain Health & Community Services, Inc.'s National Provider Identifier is 1740358258, issued on Dec 1, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jacumba, CA. The record was last updated on Oct 5, 2011.