Cancer Detection Program

NPI #1356595409 in Mammoth Lakes, California

Provider Information

NPI Number: 1356595409
Entity Type: Organization
Organization Name: Cancer Detection Program
Primary Specialty: General Acute Care Hospital - Rural
Enumeration Date: Nov 14, 2008
Last Updated: Nov 14, 2008

Practice Location

Address: 85 SIERRA PARK ROAD
City: Mammoth Lakes
State: California
ZIP Code: 93546
Phone: (760) 934-3311

Authorized Official

Name: MR. GARY D. BOYD
Title: CEO
Phone: (760) 934-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital - Critical Access — Critical Access	282NC0060X
General Acute Care Hospital - Rural — Rural	282NR1301X	Primary

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