MORONGO BASIN COMMUNITY HEALTH CENTER – NPI #1003369620
Clinic/Center

MORONGO BASIN COMMUNITY HEALTH CENTER is an AHC clinic located in YUCCA VALLEY, CA. NPPES has assigned the NPI number 1003369620 to MORONGO BASIN COMMUNITY HEALTH CENTER on August 01, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MORONGO BASIN COMMUNITY HEALTH CENTER” is a dba name, the actual legal business name for this organization is HI-DESERT MEMORIAL HEALTH CARE DISTRICT. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 3 years ago on Dec 09, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MORONGO BASIN COMMUNITY HEALTH CENTER below.

NPI Profile for
HI-DESERT MEMORIAL HEALTH CARE DISTRICT

NPI Number
1003369620
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HI-DESERT MEMORIAL HEALTH CARE DISTRICT
Doing Business As (dba): MORONGO BASIN COMMUNITY HEALTH CENTER
Primary location
57019 YUCCA TRAIL STE C
YUCCA VALLEY, CA 92284
Phone: (760) 365-9305 Fax:
Mailing address
6530 LA CONTENTA RD STE 100
YUCCA VALLEY, CA 92284-7313
Phone: (760) 979-4276 Fax:
Organization Subpart
No
Authorized Official
CINDY SCHMALL
CEO
Phone: (760) 820-9229
Updated
Certification Date
Oct 17, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.