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

Q: 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.

Q: 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.

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: August 09, 2026.

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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

Phone(760) 934-3311

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

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Other Names 1

Doing Business AsMammoth Hospital

Other Identifiers 4

MedicaidHAP18523FCA

MedicaidRHM18523FCA

MedicaidHSP40638HCA

MedicaidHSP30638HCA

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)