BRIDGEPORT FAMILY MEDICINE CLINIC
NPI 1821149816
General Acute Care Hospital - Rural in Bridgeport, CA
- Organization
- General Acute Care Hospital
- Rural
About BRIDGEPORT FAMILY MEDICINE CLINIC
This page provides the complete NPI Profile along with additional information for Bridgeport Family Medicine Clinic, a provider established in Bridgeport, California operating as a General Acute Care Hospital, focusing in rural . The healthcare provider is registered in the NPI registry with number 1821149816 assigned on January 2007. The practitioner's primary taxonomy code is 282NR1301X with license number 240000008 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Bridgeport Family Medicine Clinic. The authorized official of this NPI record is Mrs. Melanie Van Winkle (Chief Financial Offi)
- NPI
- 1821149816 Verify this NPI
- Provider Legal Name
- SOUTHERN MONO HEALTH CARE DISTRICT
- Other Organization Name
- BRIDGEPORT FAMILY MEDICINE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 221 TWIN LAKES ROAD BRIDGEPORT, CA 93517
- Location Phone
- (760) 932-7011
- Location Fax
- (760) 932-7180
- Mailing Address
- PO BOX 660 MAMMOTH LAKES, CA 93546
- Mailing Phone
- (760) 934-3311
- Mailing Fax
- (760) 924-4023
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2007
- Last Update Date
- 03-04-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital Rural
- Taxonomy Code
- 282NR1301X
- Type
- Hospitals
- License No.
- 240000008
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 058640 | MEDICARE OSCAR/CERTIFICATION (06) | CA |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821149816, enumerated as an "organization" on January 16, 2007.
The provider is located at 221 TWIN LAKES ROAD BRIDGEPORT, CA 93517 and the phone number is (760) 932-7011.
General Acute Care Hospital with taxonomy code 282NR1301X and a focus in Rural.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
