| 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 |