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GOLDFIELD MOUNTAIN HEALTHCARE LLC NPI 1043864986


NPI Information

NPI: 1043864986
Provider Name: GOLDFIELD MOUNTAIN HEALTHCARE LLC

Doing Business As: ALTA MESA HEALTH AND REHABILITATION

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
5848 E UNIVERSITY DR
MESA, AZ
ZIP 85205
Phone: (480) 981-0098
Get Directions

GOLDFIELD MOUNTAIN HEALTHCARE LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Mesa, AZ. GOLDFIELD MOUNTAIN HEALTHCARE LLC NPI is 1043864986. The provider is registered as an organization entity type.
The provider Is Doing Business As Alta Mesa Health And Rehabilitation.

The provider's business location address is:

5848 E UNIVERSITY DR
MESA, AZ
ZIP 85205-443
Phone: (480) 981-0098
Fax: (480) 396-3023

The provider's authorized official is Soon Burnam .
The authorized official title is Treasurer and has the following contact phone number (949) 540-1249.

The enumeration date for this NPI number is 7/29/2019 and was last updated on 7/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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