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

NPI Status: Active since June 12, 2006

Contact Information

85 SIERRA PARK RD
MAMMOTH LAKES, CA
ZIP 93546
Phone: (760) 934-3311
Fax: (760) 924-4149

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  • Organization
  • Clinic/Center
  • Critical Access Hospital
  • CLIA Number: 05D0588097
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 07-20-2027

About MAMMOTH HOSPITAL

This page provides the complete NPI Profile along with additional information for Mammoth Hospital, a provider established in Mammoth Lakes, California operating as a Clinic/center, focusing in critical access hospital . The healthcare provider is registered in the NPI registry with number 1962444059 assigned on June 2006. The practitioner's primary taxonomy code is 261QC0050X with license number 240000008 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Mammoth Hospital. The authorized official of this NPI record is Mrs. Melanie Van Winkle (Chief Financial Officer)

NPI
1962444059
Provider Legal Name
SOUTHERN MONO HEALTH CARE DISTRICT
Other Organization Name
MAMMOTH HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
85 SIERRA PARK RD MAMMOTH LAKES, CA 93546
Location Phone
(760) 934-3311
Location Fax
(760) 924-4149
Mailing Address
PO BOX 660 85 SIERRA PARK RD. MAMMOTH LAKES, CA 93546
Mailing Phone
(760) 934-3311
Mailing Fax
(760) 924-4149
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2006
Last Update Date
02-25-2022
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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

Clinic/Center Critical Access Hospital

Taxonomy Code
261QC0050X
Type
Ambulatory Health Care Facilities
License No.
240000008
License State
CA
Taxonomy Description
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MELANIE VAN WINKLE

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(760) 934-3311

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
HAP18523FMEDICAID (05)CA 
RHM18523FMEDICAID (05)CA 
HSP40638HMEDICAID (05)CA 
HSP30638HMEDICAID (05)CA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0588097
Facility Type
Hospital
Certificate Effective Date
July 21, 2025
Certificate Expiration Date
July 20, 2027
Laboratory Director
JOHN A. PAYTON DO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mammoth Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for MAMMOTH HOSPITAL

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962444059, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 8 + 4 + 8 + 0 + 1 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1962444059.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Physician Assistant (Medical)
85 SIERRA PARK RD
MAMMOTH LAKESA, CA 93546
Physical Therapy Assistant
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Physical Therapy Assistant
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Radiology (Diagnostic Radiology)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
General Acute Care Hospital (Rural)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Emergency Medicine
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Surgery
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Family Medicine
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Family Medicine
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Midwife
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Obstetrics & Gynecology
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Pediatrics
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Specialist/Technologist (Athletic Trainer)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Radiology (Body Imaging)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Internal Medicine
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Nurse Practitioner (Family)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Family Medicine
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Nurse Practitioner (Family)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546
Dentist (Pediatric Dentistry)
85 SIERRA PARK RD
MAMMOTH LAKES, CA 93546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962444059, enumerated as an "organization" on June 12, 2006.

The provider is located at 85 SIERRA PARK RD MAMMOTH LAKES, CA 93546 and the phone number is (760) 934-3311.

Clinic/Center with taxonomy code 261QC0050X and a focus in Critical Access Hospital.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.