| Mountain Empire Family Medicine | |
|
31115 Highway 94 Campo CA 91906-3133 | |
| (619) 478-5311 | |
| (619) 478-2267 |
| Full Name | Mountain Empire Family Medicine |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 31115 Highway 94, Campo, California |
| Authorized Official Name and Position | Judith Shaplin (CEO) |
| Authorized Official Contact | 6194456200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Empire Family Medicine 31115 Highway 94 Campo CA 91906-3133 Ph: (619) 478-5254 | Mountain Empire Family Medicine 31115 Highway 94 Campo CA 91906-3133 Ph: (619) 478-5311 |
| NPI Number | 1881752608 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 05/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881752608 | NPI | - | NPPES |
| HAP03814F | Other | CA | STATE PROGRAM |
| FHC03814F | Medicaid | CA | |
| BCP03814F | Other | CA | STATE PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 090000135 (California) | 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 | |
San Ysidro Health Mountain Health Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1388 Buckman Springs Rd, Campo, CA 91906 Phone: 619-662-4100 | |
Centro De Salud De La Comunidad De San Ysidro, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare 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 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 |