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MAMMOTH HOSPITAL
NPI 1114353323
Pharmacy - Institutional Pharmacy in Mammoth Lakes, CA

Active since September 19, 2013CLIA 05D0588097 · Accreditation
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546(760) 924-4143(760) 924-4033 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mammoth Hospital NPPES

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

MAMMOTH HOSPITAL (NPI 1114353323) is a healthcare organization registered as an institutional pharmacy in Mammoth Lakes, California and active in the NPI registry since September 2013. The organization holds an CLIA Accreditation certificate valid through July 20, 2027 and lists Gary Myers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114353323
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NameSOUTHERN MONO HEALTHCARE DISTRICT
Location Address85 SIERRA PARK RDMammoth Lakes, CA 93546-2073
Mailing AddressPo Box 660Mammoth Lakes, CA 93546-0660 · (760) 924-4143 · Fax (760) 924-4033
Phone(760) 924-4143
Fax(760) 924-4033
Organization SubpartNo
Authorized OfficialGary MyersCeo · (760) 924-4010
Enumeration DateSeptember 19, 2013
Last NPPES UpdateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1114353323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License✔ Licensed in CA · HPE 40421
Definition

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

85 SIERRA PARK RD, Mammoth Lakes, CA 93546
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Other Names 1

Other NameMammoth Hospital

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0588097

Mammoth Hospital Laboratory · Mammoth Lakes, CA
Active · expires Jul 20, 2027
CLIA Number05D0588097
Laboratory TypeHospital
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorDr. John A. Payton
Laboratory Phone(760) 924-4209
Laboratory LocationMammoth Hospital Laboratory85 Sierra Park Rd, Mammoth Lakes, CA 93546
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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
SOUTHERN MONO HEALTH CARE DISTRICT
General Acute Care Hospital (Rural)
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

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 Healthcare District's NPI number?

The NPI number for Southern Mono Healthcare District is 1114353323. It was assigned to this organization in the NPPES registry on September 19, 2013. The provider is also known as Mammoth Hospital.

Where is Southern Mono Healthcare District located?

Southern Mono Healthcare District is located at 85 Sierra Park Rd, Mammoth Lakes, CA 93546. The listed phone number is (760) 924-4143.

What is Southern Mono Healthcare District's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Does Southern Mono Healthcare District hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0588097) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Mono Healthcare District was last updated on January 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.