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SOUTHERN MONO HEALTH CARE DISTRICT
NPI 1053456400
General Acute Care Hospital - Rural in Mammoth Lakes, CA

Active since February 21, 2007
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546(760) 934-3311(760) 924-4023 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Jan 23, 2019 (2 updates tracked since 2019).

About Southern Mono Health Care District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN MONO HEALTH CARE DISTRICT (NPI 1053456400), doing business as Rural Health Clinic Mammoth Hospital, is a healthcare organization registered as a rural in Mammoth Lakes, California and active in the NPI registry since February 2007. The organization lists Melanie Van Winkle, Chief Financial Offi, as its authorized official.

NPPES Registry Identity

NPI1053456400
Entity TypeOrganization
Primary Taxonomy282NR1301X
Legal Business NameSOUTHERN MONO HEALTH CARE DISTRICT
Location Address85 SIERRA PARK RDMammoth Lakes, CA 93546-0660
Mailing AddressPo Box 660, 85 Sierra Park RdMammoth Lakes, CA 93546-0660 · (760) 934-3311 · Fax (760) 924-4023
Phone(760) 934-3311
Fax(760) 924-4023
Organization SubpartNo
Authorized OfficialMelanie Van WinkleChief Financial Offi · (760) 934-3311
Enumeration DateFebruary 21, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1053456400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals
Taxonomy Code282NR1301X
License✔ Licensed in CA · 240000008
85 SIERRA PARK RD, Mammoth Lakes, CA 93546
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Other Names 1

Doing Business AsRural Health Clinic Mammoth Hospital

Other Identifiers 4

MedicaidHSP30638HCA
MedicaidHAP18523FCA
MedicaidHSP40638HCA
MedicaidRHM18523FCA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYLLIS LEE MENESES RN
Registered Nurse (Registered Nurse First Assistant)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 924-4075
DR. JONATHAN BOURNE M.D.
Anesthesiology
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 924-4078
ERIKO SUZUKI R.N., M.S., N.P.
Nurse Practitioner (Family)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-2551
JENNIFER WATSON RN
Registered Nurse
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
RENEE ELIZABETH HARTSMAN FNP
Registered Nurse
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
DR. KIM ESCUDERO M.D.
Pediatrics
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 924-4000
KYLE ANTHONY MINKEL
Orthopaedic Surgery
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-3311
GILLIAN MCCHESNEY PHYSICAL THERAPIST
Physical Therapist (Orthopedic)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Mono County (760) 934-7302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Mono Health Care District's NPI number?

The NPI number for Southern Mono Health Care District is 1053456400. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as Rural Health Clinic Mammoth Hospital.

Where is Southern Mono Health Care District located?

Southern Mono Health Care District is located at 85 Sierra Park Rd, Mammoth Lakes, CA 93546. The listed phone number is (760) 934-3311.

What is Southern Mono Health Care District's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

When was this NPI record last updated?

The NPPES record for Southern Mono Health Care District was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.