MOUNTAIN HEALTH & COMMUNITY SERVICES, INC (NPI# 1932566395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932566395 |
Entity Type | Organization |
Organization Name | MOUNTAIN HEALTH & COMMUNITY SERVICES, INC |
Other Organization Name | SANTEE FAMILY MEDICINE |
Practice Address |
120 Town Center Pkwy Santee CA 92071-5801 |
Mailing Address |
31115 Highway 94 Campo CA 91906-3133 |
Practice Telephone | 6194785254 |
Practice Fax Number | 6198733476 |
Mailing Telephone | 6194456200 |
Mailing Fax Number | 6193203347 |
Enumeration Date | 2016-01-15 |
Last Update Date | 2017-05-08 |
Authorized Official Name | JUDITH SHAPLIN (CEO/PRESIDENT) |
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) |
550003575 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1932566395 | 05 |
Other Name | Type Code |
---|---|
Santee Family Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477116549 | Mountain Health & Community Services, Inc | Clinic/Center | 650 Hobson Way, Oxnard, CA 93030-6706 | 2019-04-15 |
1720544141 | Mountain Health & Community Services, Inc | Clinic/Center | 427 Central Ave, Fillmore, CA 93015-1329 | 2019-02-11 |
1295192656 | Mountain Health & Community Services, Inc | Clinic/Center | 125 W Mission Ave Ste 105, Escondido, CA 92025-1721 | 2016-01-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Mountain Health & Community Services, Inc | 1388 Buckman Springs Road, Campo, CA 91906 |
Street Address |
120 TOWN CENTER PKWY |
City | SANTEE |
State | CA |
Zip Code | 92071-5801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982802179 | Naval Medical Center San Diego | Clinic/Center | 120 Town Center Pkwy, Santee, CA 92071-5801 | 2007-07-10 |
1376184911 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 120 Town Center Pkwy, Santee, CA 92071-5801 | 2019-10-04 |
1114474509 | Bahareh Daneshbod | Chiropractor | 120 Town Center Pkwy, Santee, CA 92071-5801 | 2016-09-02 |
1568743029 | Katie Ballin | Family Medicine | 120 Town Center Pkwy, Santee, CA 92071-5801 | 2011-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487277307 | Sjc Management and Consulting Corp | Pharmacy | 300 Lantern Crest Way Ste A, Santee, CA 92071 | 2020-05-27 |
1225662596 | Sharp Healthcare | Pharmacy | 8701 Cuyamaca Street, Santee, CA 92071 | 2020-02-26 |
1962975920 | Santee Community Pharmacy, Inc. | Pharmacy | 9836 Magnolia Ave., Santee, CA 92071 | 2019-01-02 |
1073095428 | Rohshana Plunkett | Dental Assistant | 9717 Mission Gorge Rd, Santee, CA 92071 | 2018-09-02 |
1285144071 | Victoria Koci | Behavioral Analyst | 10636 Queen Jessica Ln, Santee, CA 92071 | 2017-10-05 |
1699214478 | Glenn C. Ashmore Dds, Inc. | Dentist | 9480 Cuyamaca Street, San Diego, CA 92071 | 2017-02-14 |
1609328517 | Daniel Burciaga | Specialist/Technologist | 9915 N Magnolia Ave, Santee, CA 92071 | 2016-10-26 |
1861940355 | Carlos Garcia Jr. | Technician, Other | 10445 Mast Blvd # 11, Santee, CA 92071 | 2016-09-14 |
1962855205 | Universal Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 10020 Prospect Ave Ste A1, Santee, CA 92071 | 2016-07-22 |
1568871861 | Mark Adam Frens | Physical Therapist | 9236 Lapeer Ct, Santee, CA 92071 | 2014-08-12 |
Find all providers in zip 92071 |
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 |
---|---|---|---|---|
1649892761 | Borrego Community Health Foundation | Clinic/Center | 8770 Cuyamaca St Ste 4, Santee, CA 92071-4289 | 2020-05-12 |
1376184911 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 120 Town Center Pkwy, Santee, CA 92071-5801 | 2019-10-04 |
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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 |
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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.