MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. (NPI# 1255499075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255499075 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. |
| Other Organization Name | ALPINE FAMILY MEDICINE |
| Practice Address |
1620 Alpine Blvd Ste 110 Alpine CA 91901-1103 |
| Mailing Address |
31115 Highway 94 Campo CA 91906-3133 |
| Practice Telephone | 6194456200 |
| Practice Fax Number | 6193203343 |
| Mailing Telephone | 6194785254 |
| Mailing Fax Number | 6194789164 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2017-05-08 |
| Authorized Official Name | JUDITH SHAPLIN (CEO) |
| Authorized Official Telephone | 6194456200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
090000681 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC71082F | 05 | |
| CA | STATE PROGRAM | HAP71082F | 01 |
| CA | STATE PROGRAM | BCP71082F | 01 |
| Other Name | Type Code |
|---|---|
| Alpine Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245893072 | Mountain Health & Community Services, Inc. | Clinic/Center | 4440 Euclid Ave Ste C, San Diego, CA 92115-4522 | 2019-04-17 |
| 1336592740 | Mountain Health & Community Services, Inc. | Clinic/Center | 1388 Buckman Springs Road, Campo, CA 91906 | 2016-07-20 |
| 1326229477 | Mountain Health & Community Services, Inc. | Clinic/Center | 3291 Buckman Springs Rd, Pine Valley, CA 91962-4003 | 2007-11-16 |
| 1063613263 | Mountain Health & Community Services, Inc. | Clinic/Center | 255 N Ash St Ste 101, Escondido, CA 92027-3069 | 2007-05-29 |
| 1861603151 | Mountain Health & Community Services, Inc. | Clinic/Center | 316 25th St, San Diego, CA 92102-3016 | 2007-05-25 |
| 1740358258 | Mountain Health & Community Services, Inc. | Clinic/Center | 44460 Old Hwy 80, Jacumba, CA 91934 | 2006-12-01 |
| 1982658142 | Mountain Health & Community Services, Inc. | Clinic/Center | 1388 Buckman Springs Rd, Campo, CA 91906-2028 | 2006-05-20 |
| 1487011847 | Mountain Health & Community Services, Inc. | Clinic/Center | 4690 El Cajon Blvd, San Diego, CA 92115-4403 | 2016-01-15 |
| 1881752608 | Mountain Health & Community Services, Inc. | Clinic/Center | 31115 Highway 94, Campo, CA 91906-3133 | 2006-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Mountain Health & Community Services, Inc | 1388 Buckman Springs Road, Campo, CA 91906 |
| Street Address |
1620 ALPINE BLVD STE 110 |
| City | ALPINE |
| State | CA |
| Zip Code | 91901-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124315 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 1620 Alpine Blvd Ste 110, Alpine, CA 91901-1103 | 2019-10-04 |
| 1104481712 | Vista Hill Foundation | Clinic/Center | 1620 Alpine Blvd Ste 110, Alpine, CA 91901-1103 | 2019-05-08 |
| 1306348164 | Katherine Lynn Crusey | Marriage & Family Therapist | 1620 Alpine Blvd Ste 110, Alpine, CA 91901-1103 | 2018-03-07 |
| 1891998118 | Firas Hazim Gorges | Family Medicine | 1620 Alpine Blvd Ste 110, Alpine, CA 91901-1103 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508381302 | Mary Allison Redden | Registered Nurse | 1730 Alpine Blvd, Alpine, CA 91901 | 2017-08-14 |
| 1801332317 | Christine Angela Myers | Registered Nurse | 2003 Via Del Torrie, Alpine, CA 91901 | 2017-01-09 |
| 1346626199 | Jenny Chen | Dental Hygienist | 4058 Willows Road, Alpine, CA 91901 | 2015-08-04 |
| 1225391410 | Arthi Chawla | Family Medicine | Southern Indian Health Council 4058 Willows Road, Po Box 2128, Alpine, CA 91901 | 2012-06-21 |
| 1407136161 | Myrna Apura Mayer | Massage Therapist | 2754 Alpine Blvd., Alpine, CA 91901 | 2011-08-25 |
| 1578716148 | Alpine Dentistry | Dentist | 1620 Alpine Blvd., Su. #121, Alpine, CA 91901 | 2008-10-28 |
| 1295915064 | Jessica Lynne Fonte | Counselor | 2120 Alpine Blvd., Alpine Special Treatment Center, Alpine, CA 91901 | 2007-11-09 |
| 1740487008 | Elite Hospital Care, Inc | Internal Medicine | 1347 Tavern Rd., Ste. 18-244, Alpine, CA 91901 | 2007-06-29 |
| 1780706028 | Martin Gorence | Pharmacist | 1665 Alpine Bld, Alpine, CA 91901 | 2007-04-06 |
| 1720100902 | Diane Eugenia Janssen | Marriage & Family Therapist | 2065 Alpine Blvd, Ste 3, Alpine, CA 91901 | 2007-04-06 |
| Find all providers in zip 91901 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124315 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 1620 Alpine Blvd Ste 110, Alpine, CA 91901-1103 | 2019-10-04 |
| 1447441860 | Southern Indian Health Council | Clinic/Center | 4058 Willows Rd, Alpine, CA 91901-1668 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MOUNTAIN HEALTH & COMMUNITY SERVICES, INC..
| 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.