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MOUNTAIN CARE MEDICAL SUPPLY LLC NPI 1235721572


NPI Information

NPI: 1235721572
Provider Name: MOUNTAIN CARE MEDICAL SUPPLY LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
91 S MAIN ST STE D
SNOWFLAKE, AZ
ZIP 85937
Phone: (928) 457-2500
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MOUNTAIN CARE MEDICAL SUPPLY LLC is a durable medical equipment medical supplies in Snowflake, AZ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MOUNTAIN CARE MEDICAL SUPPLY LLC NPI is 1235721572. The provider is registered as an organization entity type.

The provider's business location address is:

91 S MAIN ST STE D
SNOWFLAKE, AZ
ZIP 85937-285
Phone: (928) 457-2500
Fax: (928) 457-0404

The provider's authorized official is Brandon Johnson .
The authorized official title is Director and has the following contact phone number (928) 457-2500.

The enumeration date for this NPI number is 2/8/2021 and was last updated on 5/20/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes
2332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.