MAMMOTH HOSPITAL
NPI 1962444059
Clinic/Center - Critical Access Hospital in Mammoth Lakes, CA

Active since June 12, 2006
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546(760) 934-3311(760) 924-4149 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mammoth Hospital NPPES

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

MAMMOTH HOSPITAL (NPI 1962444059) is a healthcare organization registered as a critical access hospital in Mammoth Lakes, California and active in the NPI registry since June 2006. The organization lists Melanie Van Winkle, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1962444059
Entity TypeOrganization
Primary Taxonomy261QC0050X
Legal Business NameSOUTHERN MONO HEALTH CARE DISTRICT
Location Address85 SIERRA PARK RDMammoth Lakes, CA 93546-2073
Mailing AddressPo Box 660, 85 Sierra Park Rd.Mammoth Lakes, CA 93546 · (760) 934-3311 · Fax (760) 924-4149
Fax(760) 924-4149
Organization SubpartNo
Authorized OfficialMelanie Van WinkleChief Financial Officer · (760) 934-3311
Enumeration DateJune 12, 2006
Last NPPES UpdateFebruary 25, 2022
NPPES CertifiedFebruary 25, 2022
✔ NPI 1962444059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities
Taxonomy Code261QC0050X
License✔ Licensed in CA · 240000008
Definition
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
85 SIERRA PARK RD, Mammoth Lakes, CA 93546

Other Names 1

Doing Business AsMammoth Hospital

Other Identifiers 4

MedicaidHAP18523FCA
MedicaidRHM18523FCA
MedicaidHSP40638HCA
MedicaidHSP30638HCA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mammoth Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

115

Medicare enrollment records show 115 clinicians reassign Medicare billing to Mammoth Hospital, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 30 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Physical Therapist in Private Practice14
Orthopedic Surgery13
Emergency Medicine12
Anesthesiology11
Diagnostic Radiology8
Pediatric Medicine7
Certified Registered Nurse Anesthetist (CRNA)5
Internal Medicine5
22 other specialties40

Nearest to this location (20)

See all 115
Physical Therapist in Private Practice
NPI 1861969370
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-7302
✔ Accepts MedicareSame address
Anesthesiology
NPI 1013062660
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4078
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1578641601
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-3311
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1366678930
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(630) 212-6605
✔ PECOSSame address
Pediatric Medicine
NPI 1013479997
85 SIERRA PARK RD # A
Mammoth Lakes, CA 93546
(760) 924-4000
✔ PECOSSame address
Physical Therapist in Private Practice
NPI 1093857963
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-7302
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1316089287
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-7302
✔ Accepts MedicareSame address
Emergency Medicine
NPI 1881181972
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-3311
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1225561939
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4084
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1386799930
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4032
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1821349622
85 SIERRA PARK ROAD
Mammoth Lakes, CA 93546
(760) 924-4012
✔ PECOSSame address
Diagnostic Radiology
NPI 1619962115
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4070
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1093860645
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4032
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1124402417
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4214
✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1225490659
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 942-4000
✔ PECOSSame address
Emergency Medicine
NPI 1801941463
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4032
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1649473208
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-3311
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1558371229
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-3311
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1699819086
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4014
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1528113628
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-2551
✔ PECOS✔ Accepts Medicare0.1 mi
See all 115 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1962444059. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as 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 Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

Is Southern Mono Health Care District enrolled in Medicare?

Yes. Southern Mono Health Care District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Mono Health Care District?

According to the CMS Revalidation Reassignment List (October 2026 release), 115 clinicians in 30 Medicare specialties reassign their Medicare billing to Southern Mono Health Care District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (14), Orthopedic Surgery (13) and Emergency Medicine (12). Of these, 18 practice at this address and 30 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Mono Health Care District was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.