MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. (NPI# 1245893072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245893072 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. |
| Practice Address |
4440 Euclid Ave Ste C San Diego CA 92115-4522 |
| Mailing Address |
1388 Buckman Springs Rd Campo CA 91906-2028 |
| Practice Telephone | 6195825105 |
| Mailing Telephone | 6194456200 |
| Mailing Fax Number | 6194789164 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | AMY CHRISTINE WEISIGER (CFO) |
| Authorized Official Telephone | 6194785254 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sidrick Famly Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336592740 | Mountain Health & Community Services, Inc. | Clinic/Center | 1388 Buckman Springs Road, Campo, CA 91906 | 2016-07-20 |
| 1326229477 | Mountain Health & Community Services, Inc. | Clinic/Center | 3291 Buckman Springs Rd, Pine Valley, CA 91962-4003 | 2007-11-16 |
| 1063613263 | Mountain Health & Community Services, Inc. | Clinic/Center | 255 N Ash St Ste 101, Escondido, CA 92027-3069 | 2007-05-29 |
| 1861603151 | Mountain Health & Community Services, Inc. | Clinic/Center | 316 25th St, San Diego, CA 92102-3016 | 2007-05-25 |
| 1255499075 | Mountain Health & Community Services, Inc. | Clinic/Center | 1620 Alpine Blvd Ste 110, Alpine, CA 91901-1103 | 2006-12-05 |
| 1740358258 | Mountain Health & Community Services, Inc. | Clinic/Center | 44460 Old Hwy 80, Jacumba, CA 91934 | 2006-12-01 |
| 1982658142 | Mountain Health & Community Services, Inc. | Clinic/Center | 1388 Buckman Springs Rd, Campo, CA 91906-2028 | 2006-05-20 |
| 1487011847 | Mountain Health & Community Services, Inc. | Clinic/Center | 4690 El Cajon Blvd, San Diego, CA 92115-4403 | 2016-01-15 |
| 1881752608 | Mountain Health & Community Services, Inc. | Clinic/Center | 31115 Highway 94, Campo, CA 91906-3133 | 2006-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Mountain Health & Community Services, Inc | 1388 Buckman Springs Road, Campo, CA 91906 |
| Street Address |
4440 EUCLID AVE STE C |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856362 | Family Health Centers of San Diego, Inc | Clinic/Center | 1401 Imperial Ave, San Diego, CA 92101-7527 | 2019-11-21 |
| 1093298879 | Family Health Centers of San Diego, Inc | Clinic/Center | 3420 College Ave, San Diego, CA 92115-7134 | 2018-09-08 |
| 1386158483 | Operation Samahan, Inc. | Clinic/Center | 10737 Camino Ruiz Ste 138, San Diego, CA 92126-2361 | 2017-11-28 |
| 1386168193 | San Diego Family Care | Clinic/Center | 6979 Linda Vista Rd, San Diego, CA 92111-6342 | 2017-08-02 |
| 1841714656 | San Diego Family Care | Clinic/Center | 6985 Linda Vista Rd, San Diego, CA 92111-6342 | 2017-08-02 |
| 1699216622 | Operation Samahan Inc | Clinic/Center | 9995 Carmel Mountain Rd, Suite B10 & B11, San Diego, CA 92129-2889 | 2017-03-09 |
| 1235521782 | Family Health Centers of San Diego Inc | Clinic/Center | 2325 Commercial St, Ste 1400, San Diego, CA 92113-1189 | 2015-02-20 |
| 1265831960 | La Maestra Family Clinic, Inc. | Clinic/Center | 4171 Fairmount Ave, San Diego, CA 92105-1609 | 2014-08-19 |
| 1952729303 | Family Health Centers of San Diego Inc | Clinic/Center | 1550 Broadway, Suite 2, San Diego, CA 92101 | 2014-04-02 |
| 1770929101 | Family Health Centers of San Diego Inc | Clinic/Center | 1250 6th Avenue, Suite 100, San Diego, CA 92101-4368 | 2013-05-13 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.