SOUTHERN INYO HEALTHCARE DISTRICT (NPI# 1063589174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063589174 |
Entity Type | Organization |
Organization Name | SOUTHERN INYO HEALTHCARE DISTRICT |
Other Organization Name | SOUTHERN INYO HOSPITAL |
Practice Address |
510 E. Locust Lone Pine CA 93545 |
Mailing Address |
Po Box 1009 Lone Pine CA 93545 |
Practice Telephone | 7608761146 |
Practice Fax Number | 7608764046 |
Mailing Telephone | 7608761146 |
Mailing Fax Number | 7608764046 |
Enumeration Date | 2006-11-30 |
Last Update Date | 2019-01-23 |
Authorized Official Name | MR. BRIAN F. COTTER (CEO) |
Authorized Official Telephone | 7608765501 |
Authorized Official Credential | R.N. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
240000205 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE ID TYPE UNSPECIFIED | 05-8511 | 01 |
Other Name | Type Code |
---|---|
Southern Inyo Hospital | Former Legal Business Name - Organization |
Southern Inyo Rural Health Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831128602 | Southern Inyo Healthcare District | Clinic/Center | 501 E. Locust Street, Lone Pine, CA 93545 | 2006-07-02 |
Street Address |
510 E. LOCUST |
City | LONE PINE |
State | CA |
Zip Code | 93545 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447718978 | Maria Lucia Niepagen | Nurse Practitioner | 1150 S Goodwin Rd., Lone Pine, CA 93545 | 2019-03-04 |
1659789832 | Loraine Spreacker | Dietitian, Registered | 501 E Locust Street, Lone Pine, CA 93545 | 2014-07-31 |
1386902849 | County of Inyo | Clinic/Center | 380 North Mt Whitney Drive, Lone Pine, CA 93545 | 2012-05-02 |
1194843896 | Inyo County Mental Health | Clinic/Center | 380 1/2 North Mt Whitney Drive, Lone Pine, CA 93545 | 2007-03-27 |
1205950888 | Toiyabe Indian Health Project, Inc. | Clinic/Center | 1150 S Goodwin Road, Lone Pine, CA 93545 | 2007-03-19 |
1679612584 | Lone Pine Unified School District | Local Education Agency (LEA) | 301 S Hay Street, Lone Pine, CA 93545 | 2007-02-06 |
1679627731 | Robert Seitz | Dentist | 1150 South Goodwin Lane, Lone Pine, CA 93545 | 2007-01-23 |
1326123738 | Milton Benjamin Jones | Family Medicine | 510 East Locust Street, Lone Pine, CA 93545 | 2006-10-25 |
1245325984 | Cyrus Andris Pourzan | General Practice | 1150 S. Goodwin Rd, Lone Pine, CA 93545 | 2006-10-04 |
1831128602 | Southern Inyo Healthcare District | Clinic/Center | 501 E. Locust Street, Lone Pine, CA 93545 | 2006-07-02 |
Find all providers in zip 93545 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831128602 | Southern Inyo Healthcare District | Clinic/Center | 501 E. Locust Street, Lone Pine, CA 93545 | 2006-07-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.