| San Ysidro Health Mountain Health Family Medicine | |
|
1388 Buckman Springs Rd Campo CA 91906-2028 | |
| (619) 662-4100 | |
| Not Available |
| Full Name | San Ysidro Health Mountain Health Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1388 Buckman Springs Rd, Campo, California |
| Authorized Official Name and Position | Kevin Mattson (PRESIDENT/CEO) |
| Authorized Official Contact | 6196624100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Ysidro Health Mountain Health Family Medicine 1601 Precision Park Ln San Diego CA 92173-1345 Ph: (619) 662-4100 | San Ysidro Health Mountain Health Family Medicine 1388 Buckman Springs Rd Campo CA 91906-2028 Ph: (619) 662-4100 |
| NPI Number | 1174164719 |
|---|---|
| Provider Enumeration Date | 10/04/2019 |
| Last Update Date | 11/06/2019 |
| Medicare PECOS PAC ID | 6901709435 |
|---|---|
| Medicare Enrollment ID | O20200831001506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174164719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
San Ysidro Health Pharmacy Mountain Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1388 Buckman Springs Rd, Campo, CA 91906 Phone: 619-662-4100 | |
Mountain Health Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1388 Buckman Springs Road, Campo, CA 91906 Phone: 619-478-5311 Fax: 619-478-2267 | |
Mountain Empire Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31115 Highway 94, Campo, CA 91906 Phone: 619-478-5311 Fax: 619-478-2267 | |
Mountain Health & Community Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1388 Buckman Springs Rd, Campo, CA 91906 Phone: 619-478-5254 Fax: 619-478-9164 |