| NPI | 1407326978 |
|---|---|
| Doing Business As | BURDOIN MOUNTAIN MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CHARDONNAY JULIA VANCE Physician, Owner 509-289-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 251K00000X Public Health or Welfare | |
| 251V00000X Voluntary or Charitable | |
| 261QB0400X Clinic/Center Birthing | |
| 261QC1500X Clinic/Center Community Health | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR1300X Clinic/Center Rural Health | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-05-02 |