| NPI | 1902833361 |
|---|---|
| Doing Business As | MOUNTAIN MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW THOMAS MOUNTAIN Clinic Director 386-575-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-08-22 |