| Mountain Vista Medical Center Lp | |
|
1301 S Crismon Rd Mesa AZ 85209-3767 | |
| (480) 358-6100 | |
| (480) 358-6168 |
| Full Name | Mountain Vista Medical Center Lp |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1301 S Crismon Rd, Mesa, Arizona |
| Authorized Official Name and Position | Jacob Golich (HOSPITAL CEO) |
| Authorized Official Contact | 4803586100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Vista Medical Center Lp 1301 S Crismon Rd Attn: Billing Mesa AZ 85209-3767 Ph: (480) 358-6100 | Mountain Vista Medical Center Lp 1301 S Crismon Rd Mesa AZ 85209-3767 Ph: (480) 358-6100 |
| NPI Number | 1902162639 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 04/03/2018 |
| Medicare PECOS PAC ID | 9436255528 |
|---|---|
| Medicare Enrollment ID | O20120530000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902162639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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