| NPI | 1417992264 |
|---|---|
| Doing Business As | MOUNTAIN MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW THOMAS MOUNTAIN Clinic Director 386-575-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL CH 8010) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2008-11-21 |