NPI | 1477321446 |
---|---|
Other Name | MOUNTAIN AMERICA HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | JEFF WELLS CEO 866-434-3255 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-12-19 |
Last Update Date | 2024-02-14 |