| Southern Inyo Healthcare District | |
|
510 E. Locust Lone Pine CA 93545 | |
| (760) 876-1146 | |
| (760) 876-4046 |
| Full Name | Southern Inyo Healthcare District |
|---|---|
| Speciality | Clinic/Center |
| Location | 510 E. Locust, Lone Pine, California |
| Authorized Official Name and Position | Brian F. Cotter (CEO) |
| Authorized Official Contact | 7608765501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Inyo Healthcare District Po Box 1009 Lone Pine CA 93545 Ph: (760) 876-1146 | Southern Inyo Healthcare District 510 E. Locust Lone Pine CA 93545 Ph: (760) 876-1146 |
| NPI Number | 1063589174 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 01/23/2019 |
| Medicare PECOS PAC ID | 7911816731 |
|---|---|
| Medicare Enrollment ID | O20030422000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063589174 | NPI | - | NPPES |
| 05-8511 | Other | CA | MEDICARE ID TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 240000205 (California) | Primary |
Southern Inyo Healthcare District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 E. Locust Street, Lone Pine, CA 93545 Phone: 760-876-5501 Fax: 760-876-4388 |