NPIMap

Organization Active NPI

Southern Mono Healthcare District

  • Health Service Clinic/Center
  • Bishop, CA
National Provider Identifier
1497258610
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SOUTHERN MONO HEALTHCARE DISTRICT
Practice address
168 S Main St
Bishop, CA 93514-3415
Phone
(760) 872-7766
NPI assigned
Mar 14, 2018
Last updated
Mar 14, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN MONO HEALTHCARE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

168 S Main St
Bishop, CA 93514-3415

Mailing address

PO Box 660
Mammoth Lakes, CA 93546-0660
Phone (760) 934-3311

Other names 1

  • Orthopedic Clinic - Bishop Other name

National Provider Directory

National Provider Directory
Tax ID family
Southern Mono Healthcare District9 organizations share this tax ID, including this one
Part of
Southern Mono Healthcare District

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

168 S Main St
Bishop, CA 93514
Phone (760) 872-7766

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1497258610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "935460660",
            "telephone_number": "760-934-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 S MAIN ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143415",
            "telephone_number": "760-872-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MONO HEALTHCARE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN MONO HEALTHCARE DISTRICT",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "VAN WINKLE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "760-924-4012"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Clinic - Bishop",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bishop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.