PACT (NPI# 1992959043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992959043 |
| Entity Type | Organization |
| Organization Name | PACT |
| Other Organization Name | MAMMOTH HOSPITAL |
| Practice Address |
85 Sierra Park Rd Mammoth Lakes CA 93546 |
| Mailing Address |
Po Box 100 Mammoth Lakes CA 93546-0100 |
| Practice Telephone | 7609343311 |
| Practice Fax Number | 7609244023 |
| Mailing Telephone | 7609343311 |
| Mailing Fax Number | 7609244023 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |
| Authorized Official Name | MR. GARY D. BOYD (CEO) |
| Authorized Official Telephone | 7609343311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals | ||
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| Other Name | Type Code |
|---|---|
| Mammoth Hospital | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PACT | 300 S Capitol Ave, Mount Sterling, IL 62353-1506 |
| Oregon Corporations, Companies and Business Names | PACT | 8636 2nd St, Terrebonne, OR 97760 |
| System for Award Management (SAM) Entities | PACT & HEALTH LLC | 22 Montoya Cir, Branford, CT 06405-2546 |
| Connecticut Business Registrations | PACT & HEALTH LLC | 22 Montoya Circle, Branford, CT 06405 |
| Colorado Business Entities | PACT 1200 Warrior, LLC | 5355 Gunbarrel Circle, Longmont, CO 80503 |
| Colorado Business Entities | PACT 1996, LLC | 5355 Gunbarrel Circle, Longmont, CO 80503 |
| Colorado Business Entities | PACT AUTO GROUP LLP | 1059 W. Littleton Blvd, Littleton, CO 80120 |
| System for Award Management (SAM) Entities | PACT COALITION | 3110 Polaris Ave Ste 6, Las Vegas, NV 89102-8359 |
| Colorado Business Entities | Pact Collective | 1624 Market St., 226 Pmb 85026, Denver, CO 80202 |
| Connecticut Business Registrations | PACT GROUP, INC. THE | 1500 Craigmore Circle, Avon, CT 06001 |
| Street Address |
85 SIERRA PARK RD |
| City | MAMMOTH LAKES |
| State | CA |
| Zip Code | 93546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346225653 | Amy Conrad | Pediatrics | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2005-12-08 |
| 1861969370 | Elaine Alrutz | Physical Therapist | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2018-11-01 |
| 1548770837 | Cara Dolan Crosby | Physician Assistant | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2017-10-02 |
| 1225490659 | Sarah Ruberman | Pediatrics | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2016-03-24 |
| 1124402417 | Casey Piercey | Dietitian, Registered | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2015-07-16 |
| 1619372281 | Rita Klabacha | Physician Assistant | 85 Sierra Park Rd, Family Medicine Clinic, Mammoth Lakes, CA 93546-2073 | 2014-10-24 |
| 1386046662 | Evan Rowley | Physician Assistant | 85 Sierra Park Rd, Mammoth Hospital, Mammoth Lakes, CA 93546-2073 | 2014-09-18 |
| 1952716722 | Kimdoc LLC | Family Medicine | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2014-06-30 |
| 1417373770 | Carolyn Korfiatis | Registered Nurse | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2014-03-11 |
| 1861821977 | Araya Medicine Inc | Internal Medicine | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 | 2013-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513433 | Luisana Beatriz Baires | Case Manager/Care Coordinator | 1290 Tavern Rd., Mammoth Lakes, CA 93546 | 2020-09-21 |
| 1679106371 | Jesica Jasmin Ramos Castelan | Case Manager/Care Coordinator | 365 Sierra Park Rd, Mammoth Lakes, CA 93546 | 2020-02-20 |
| 1669970224 | Andres Villalpando | Case Manager/Care Coordinator | 452 Old Mammoth Rd Suit 304, Mammoth Lakes, CA 93546 | 2018-01-30 |
| 1598278467 | Eastern Sierra Counseling and Consulting | Social Worker | 272 Sierra Manor, Suite B1, Mammoth Lakes, CA 93546 | 2017-11-14 |
| 1053771949 | Sofia Carolina Flores | Counselor | 451 Old Mammoth Rd, 304, Mammoth Lakes, CA 93546 | 2016-03-04 |
| 1669848180 | Jennifer Liebersbach | Chiropractor | 645 Old Mammoth Rd., Mammoth Lakes, CA 93546 | 2015-08-19 |
| 1316281918 | France Jacqueline Fischer | Behavioral Analyst | 2251 Meridian Blvd., Mammoth Lakes, CA 93546 | 2012-11-20 |
| 1366712424 | Richard Charles Bonneau | Counselor | 452 Old Mammoth Rd, 3rd Floor, Mammoth Lakes, CA 93546 | 2012-01-06 |
| 1407155435 | Mammoth Lakes Fire Protection District | Ambulance | 3150 Main Street, Mammoth Lakes, CA 93546 | 2011-03-16 |
| 1588964381 | Nancy Ellen Johnson | Pharmacist | 481 Old Mammoth Road, Mammoth Lakes, CA 93546 | 2010-10-26 |
| Find all providers in zip 93546 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558374132 | Byron P Sansom A Dental Corporation | General Acute Care Hospital | 452 Old Mammoth Rd., Suite L, Mammoth Lakes, CA 93546 | 2006-08-14 |
| 1700117462 | Southern Mono Health Care District | General Acute Care Hospital | 85 Sierra Park Road, Mammoth Lakes, CA 93546-0660 | 2010-01-20 |
| 1053456400 | Southern Mono Health Care District | General Acute Care Hospital | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205288818 | Mahalet Zewde Welde Semat | General Acute Care Hospital | 2447 Vallejo St Apt 5, San Francisco, CA 94123-4656 | 2016-07-07 |
| 1053789164 | Va Longbeach Medical Center | General Acute Care Hospital | 14118 Cordary Ave Apt 22, Hawthorne, CA 90250-8074 | 2015-09-04 |
| 1871884585 | Tulare Local Health Care District | General Acute Care Hospital | 16796 Avenue 168, Woodville, CA 93257-0000 | 2011-04-28 |
| 1841525532 | Stanley D Levine, Md A Professional Corporation | General Acute Care Hospital | 20760 Hyde Rd, Sonoma, CA 95476-9588 | 2009-10-13 |
| 1700020500 | Sutter Health Sacramento Sierra Region | General Acute Care Hospital | 24685 Highway 88, Pioneer, CA 95666 | 2009-04-23 |
| 1164680617 | California Pacific Medical Center | General Acute Care Hospital | 550 Battery St Apt 1417, San Francisco, CA 94111-2328 | 2008-05-30 |
| 1649446014 | Edward Turberville Peter | General Acute Care Hospital | 13980 Valley View Dr, Red Bluff, CA 96080-9352 | 2008-05-05 |
| 1952402844 | Feather River Hospital | General Acute Care Hospital | 5730 Canyon View Dr., Paradise, CA 95969 | 2006-09-26 |
| 1750321378 | John Michael Pabers | General Acute Care Hospital | 2304 Juan St, San Diego, CA 92103-1111 | 2006-06-08 |
| 1184697864 | Indian Valley Health Care District | General Acute Care Hospital | 184 Hot Springs Rd, Greenville, CA 95947-9747 | 2006-02-11 |
| Find all providers with the same taxonomy | ||||
| City | MAMMOTH LAKES |
| Zip Code | 93546 |
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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.