MAMMOTH HOSPITAL PHYSICIAN GROUP
NPI 1700117462
General Acute Care Hospital - Critical Access in Mammoth Lakes, CA

Active since January 20, 2010
85 SIERRA PARK ROAD, MAMMOTH LAKES, CA 93546(760) 872-6749(760) 872-6790 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mammoth Hospital Physician Group NPPES

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

MAMMOTH HOSPITAL PHYSICIAN GROUP (NPI 1700117462) is a healthcare organization registered as a critical access in Mammoth Lakes, California and active in the NPI registry since January 2010. The organization lists Gary Boyd, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1700117462
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameSOUTHERN MONO HEALTH CARE DISTRICT
Location Address85 SIERRA PARK ROADMammoth Lakes, CA 93546-0660
Mailing AddressPo Box 660Mammoth Lakes, CA 93546-0660 · (760) 872-6749 · Fax (760) 872-6790
Fax(760) 872-6790
Organization SubpartNo
Authorized OfficialGary BoydChief Executive Officer · (760) 934-3311
Enumeration DateJanuary 20, 2010
NPI 1700117462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code282NC0060X
License Licensed in CA · 240000008
Also ListedGeneral Acute Care Hospital · RuralTaxonomy 282NR1301X · License 240000008 (CA)
85 SIERRA PARK ROAD, Mammoth Lakes, CA 93546

Other Names 1

Doing Business AsMammoth Hospital Physician Group

Other Providers at the Same Location NPPES 8

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

Pediatrics
85 SIERRA PARK ROAD, SUITE A
MAMMOTH LAKES, CA 93546
General Acute Care Hospital (Rural)
85 SIERRA PARK ROAD
MAMMOTH LAKES, CA 93546
Physical Therapist
85 SIERRA PARK ROAD
MAMMOTH LAKES, CA 93546
General Acute Care Hospital (Critical Access)
85 SIERRA PARK ROAD
MAMMOTH LAKES, CA 93546
General Acute Care Hospital (Critical Access)
85 SIERRA PARK ROAD
MAMMOTH LAKES, CA 93546
Pediatrics
85 SIERRA PARK ROAD
MAMMOTH LAKES, CA 93546
Psychologist (Clinical)
85 SIERRA PARK ROAD, MAMMOTH HOSPITAL
MAMMOTH LAKES, CA 93546
Registered Nurse (Registered Nurse First Assistant)
85 SIERRA PARK ROAD, PO BOX 660
MAMMOTH LAKES, CA 93546

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 1700117462. It was assigned to this organization in the NPPES registry on January 20, 2010. The provider is doing business as Mammoth Hospital Physician Group.

Where is Southern Mono Health Care District located?

Southern Mono Health Care District is located at 85 Sierra Park Road, Mammoth Lakes, CA 93546. The listed phone number is (760) 872-6749.

What is Southern Mono Health Care District's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

When was this NPI record last updated?

The NPPES record for Southern Mono Health Care District was last updated on January 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.